| NPI | 1669620027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISELLA MARENGO Billing And Contract Manager 727-442-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL 760) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |