| NPI | 1063394450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN GOLDWASSER Owner 904-535-4104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-07-24 |