| NPI | 1770780744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SUGGS Owner Provider 727-848-3944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME87105) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |