| NPI | 1689665424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SHIREY Executive Director 941-917-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2018-04-18 |