| NPI | 1225108392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D JANE HENDERSON President 772-770-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME43958) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |