| NPI | 1528457074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIRAN J CHAMOUN Owner 321-751-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |