| NPI | 1326317306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD B LEWIS Doctor 813-870-3850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL 00257767) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2012-01-20 |