| NPI | 1427357854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTY MENNA Executive Assistant 239-333-3826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-24 |