| NPI | 1346811015 |
|---|---|
| Other Name | OB/GYN AT WALDEN LAKE I |
| Entity Type | Organization |
| Authorized Contact | LYNDA GORKEN VP, PFS 727-281-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2021-07-05 |