| NPI | 1538281415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS HALL Medical Director 352-840-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: FL ME23619) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS0006081) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2009-09-21 |