| NPI | 1750102802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE GREEN EVP/CFO 863-687-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208000000X Pediatrics | |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-11-06 |