| NPI | 1295149250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILENE GILBERT COO 941-917-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME84613) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME111784) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-08-15 |