NPI | 1114356680 |
---|---|
Entity Type | Organization |
Authorized Contact | WYATT IRVIN HENDRICKS COO 850-251-5688 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME28955) |
Enumeration Date | 2013-11-05 |
Last Update Date | 2013-11-07 |