| NPI | 1316202682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMEENA PARVEZ Administrator 407-339-6148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL ME42498) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |