| NPI | 1750480380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKEY S PICKLER Vice President 850-523-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME96687) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-01-25 |