| NPI | 1497321798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN MICHELLE BOWER COO 813-286-2033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| 208600000X Surgery | |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2023-05-09 |