| NPI | 1689112765 |
|---|---|
| Doing Business As | PREMIER WOMENS HEALTH |
| Entity Type | Organization |
| Authorized Contact | JEFFREY L SUSI CEO 772-567-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL 4029) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2019-09-16 |