| NPI | 1609022771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISELLA MARENGO Billing And Contract Manager 727-442-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-08 |