| NPI | 1811134273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUEL TYRONE STOESSEL Owner 561-630-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: FL ME72366) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2010-07-08 |