| NPI | 1619030731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN LUKOWSKI Owner 352-333-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME32853) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |