| NPI | 1205061447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MARK GREENBERG Owner 941-979-5153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME104409) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2011-08-10 |