| NPI | 1780468108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA CHRISTINE BENNETT Partner 352-293-5755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2023-11-13 |