| NPI | 1902109481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARWAN M SHAYKH Physician 904-398-1473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL 40218) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: FL 40218) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: VA 0101232643) | |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-07 |