NPI | 1376712604 |
---|---|
Doing Business As | VISIONARY COSMETIC GYNECOLOGY |
Entity Type | Organization |
Authorized Contact | JENNIFER S HAYES Sole Member/Owner 727-540-0414 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL os5756) |
Enumeration Date | 2008-02-20 |
Last Update Date | 2018-06-21 |