| NPI | 1841504875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE BULLARD Physician 850-785-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME0053167) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-06 |