| NPI | 1235123092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA SPERRAZZA Medical Biller 321-952-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME78114) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL OS6956) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2008-09-17 |