| NPI | 1720172224 |
|---|---|
| Doing Business As | LOCH HAVEN OB/GYN |
| Entity Type | Organization |
| Authorized Contact | DARYL TOL President/Ced 407-303-1531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-12-30 |