| NPI | 1316080161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA REES Billing 352-666-0544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME0062854) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2014-08-15 |