| NPI | 1487068672 |
|---|---|
| Other Name | PAVILLION - OBGYN |
| Entity Type | Organization |
| Authorized Contact | LANCE GREEN VP / CFO 863-687-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2023-01-04 |