| NPI | 1134533136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN MARTINEZ Controller 407-215-6321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |