| NPI | 1063670255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY ANN SOUTH Managing Director 941-993-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME101589) |
| Enumeration Date | 2008-05-25 |
| Last Update Date | 2019-05-09 |