NPI | 1235319278 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACYE L ZLOBL Owner 239-262-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME90230) |
Enumeration Date | 2007-11-07 |
Last Update Date | 2021-08-02 |