| NPI | 1568780302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT PHILIP BRODY Owner 904-260-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME69231) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-08-04 |