| 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 |