| NPI | 1760710644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELWYN RAUM President 352-351-5640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME00036829) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2009-12-03 |