| NPI | 1679761852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN LENCKI President 772-288-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME86568) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-12 |