| NPI | 1578792032 |
|---|---|
| Doing Business As | DR. MARY'S PLACE |
| Entity Type | Organization |
| Authorized Contact | MARY E SOHA President 904-393-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME56953) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |