| NPI | 1588762132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK FAUP Medical Doctor 407-299-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME15851) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-10-14 |