| NPI | 1598478224 |
|---|---|
| Other Name | OBWG 2 |
| Entity Type | Organization |
| Authorized Contact | LORA MORSE VP Professional Fee Services 321-434-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2022-12-27 |