| NPI | 1699431411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE GREENE Owner 941-799-5753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2024-08-27 |