| NPI | 1083709158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP N JOHNSON President 352-620-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME006682) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2016-09-19 |