| NPI | 1134524366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA JEAN DURY President/Owner 239-826-8771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME 70701) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |