| NPI | 1235460775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT SCHAAD Office Manager 321-775-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME90087) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2011-01-11 |