| NPI | 1558119198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMARILYS ROQUE BAZ Medical Director 407-750-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-28 |