| NPI | 1629780143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA OTERO Credentialing Specialist 727-499-0351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2024-10-21 |