| NPI | 1285900639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANE MILTON CRANDALL Owner 239-596-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME0034911) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |