| NPI | 1477564383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE LYNN BAKER President 941-748-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: FL ME0060728) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2019-08-01 |