| NPI | 1710206925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI LEE MAETOZO CEO Medical Doctor 904-461-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME0056926) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |