| NPI | 1699868711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON THAMES COUCH Physician 850-477-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME0013562) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-05-09 |