| NPI | 1548600869 |
|---|---|
| Doing Business As | PORT ORANGE GYNECOLOGY LLC |
| Entity Type | Organization |
| Authorized Contact | PAULA M. FOUST M.D. Owner 386-492-6929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME97528) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-10-09 |