| NPI | 1295923688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY ANN LAWLOR Assistant Manager 352-564-8245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME62824) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2016-01-06 |