NPI | 1750458261 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE CHRISTINE CASTAGNO Physician Owner 352-672-4666 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 044759) |
Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: GA 031498) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2011-08-24 |