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 |