| NPI | 1073889028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANE MITCHELL CRANDALL Owner/Physician 239-213-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME95903) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-03-23 |