NPI | 1407100043 |
---|---|
Entity Type | Organization |
Authorized Contact | ARIEL FIGUEREDO Owner 239-939-1999 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL me92164) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL me59299) |
363L00000X Nurse Practitioner (Licence: FL arnp3285992) | |
Enumeration Date | 2012-11-05 |
Last Update Date | 2012-11-05 |