| NPI | 1609871698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA MCCORMICK Director 239-540-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing (Licence: FL 308) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2007-12-21 |