| NPI | 1912197641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W MCBROOM President 850-877-7392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME 96687) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-10-15 |