| NPI | 1225214182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILLIAM DERUITER President 850-747-4963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL me0012877) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2010-10-19 |