| NPI | 1518152396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN DIXON Owner 941-924-1363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME000436) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |