NPI | 1487842506 |
---|---|
Entity Type | Organization |
Authorized Contact | WAYNE S BLOCKER Physician/Owner 813-681-9048 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME 26545) |
Enumeration Date | 2007-10-15 |
Last Update Date | 2008-05-14 |