| NPI | 1053657502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN JASIONOWSKI President 941-484-9718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-01-02 |