| NPI | 1124452446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARK Owner 954-330-8604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME100791) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |