| NPI | 1295982767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI RAMBO Insurance Billing & Credentialing R 727-442-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL 753) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2023-12-13 |