| NPI | 1669054680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN MICHELLE BOWER COO 813-286-2033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2023-05-09 |