| NPI | 1376827352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2012-11-26 |