| NPI | 1174663694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE L GONZALEZ Office Manager 813-876-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME 43544) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2012-01-04 |