| NPI | 1891461158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUEL TYRONE STOESSEL Owner 561-630-8001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-08-17 |