NPI | 1164827010 |
---|---|
Entity Type | Organization |
Authorized Contact | LUIS FERNANCO TOBON Medical Director 407-492-5931 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME98764) |
Additional Taxonomies | 2471S1302X Radiologic Technologist, Sonography (Licence: FL 120313) |
Enumeration Date | 2014-11-04 |
Last Update Date | 2016-02-05 |