| NPI | 1417142951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA C BENNETT President 352-686-3127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME069253) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2008-04-01 |