| NPI | 1164460143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON MATTHEW SUDBURY Managing Director 941-745-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL me89915) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2010-03-09 |