| NPI | 1265615124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE LONGACRE Vice President 407-237-6393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| 208800000X Urology | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2014-08-25 |