| NPI | 1326001868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE D SHEPHARD President 813-928-5276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL 24560) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2016-07-06 |