| NPI | 1154418820 |
|---|---|
| Doing Business As | CENTRAL FLORIDA HEALTH CARE LAKELAND OB GYN |
| Entity Type | Organization |
| Authorized Contact | BERNARD FULSE CFO 863-452-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2008-04-22 |