| NPI | 1811145915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI RAMBO Insurance Billing Representative 727-442-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL 814) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2021-10-14 |