| NPI | 1093139784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLISSA GRABER CEO 954-592-1626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: FL ME26937) |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2014-02-14 |