| NPI | 1528072592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E. SULLIVAN Owner 941-955-8076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME43835) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2011-05-24 |