| NPI | 1417905993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA DAVIS Administrator 904-389-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2008-07-01 |