| NPI | 1861437451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANE JAY MERCER Owner 407-898-9804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME89606) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2007-12-27 |