| NPI | 1790447977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI RAMBO Insurance Billing Representative 727-442-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |