| NPI | 1275049272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVETTE ALVARADO Admin 352-250-3478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL me59124) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |