| NPI | 1134491533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE ADAMS Billing 239-768-7071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS6964) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2017-12-05 |