| NPI | 1568456820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LOUIS PAULA COO 813-787-7350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME0043806) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME0070754) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2023-09-06 |