| NPI | 1558554063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDA SEBASTIAN President 561-737-3174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME28608) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-12-06 |