| NPI | 1215078977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE KAYE THRASHER Office Manager 904-398-7684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |