| NPI | 1790089407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SCOTT CAPUTO Provider 850-398-8873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL 0S005464) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-27 |