| NPI | 1528131992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE M JARDNO Owner 941-925-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME49205) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-07-28 |