| NPI | 1417939521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE E SMITH Office Administrator 407-846-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME 46628) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME74163) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2011-01-12 |