| NPI | 1447304415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL RAZIANO Insurance Administrator 954-288-6404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: FL ME0018407) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME18407) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |