| NPI | 1528076882 | 
|---|---|
| Other Name | GRACE WOMENS HEALTHCARE | 
| Entity Type | Organization | 
| Authorized Contact | CARL DONNELL ZOLLICOFFER Owner 772-429-3400  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology | 
| Enumeration Date | 2006-08-03 | 
| Last Update Date | 2007-10-04 |