NPI | 1255710604 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICIA ACON Md 954-507-4604 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME100481) |
Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
Enumeration Date | 2015-05-19 |
Last Update Date | 2016-01-22 |