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 |