| NPI | 1568987527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORRIS ELMONDA ARCHER Physician 305-948-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME102642) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2022-07-21 |