| NPI | 1699365072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE ANDERSON Sr. Mgr Cred Impl And Provider Serv 561-486-8439 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-09-13 |