| NPI | 1346244035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI SUSAN DAHLBORG President 941-330-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center Birthing (Licence: FL 318) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2020-08-22 |