| NPI | 1861434417 |
|---|---|
| Doing Business As | NORTHSIDE OB/GYN |
| Entity Type | Organization |
| Authorized Contact | ROBERT E BRAUNER President 813-979-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME39272) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2010-04-05 |