| NPI | 1124776208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN GOLDSTEIN CEO 904-635-4423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-03-16 |