| NPI | 1215090691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL LOY Secretary Treasurer 407-740-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |