| NPI | 1942590401 |
|---|---|
| Doing Business As | PALM COAST OB GYN |
| Entity Type | Organization |
| Authorized Contact | PATRICIA ISABEL MODAD President 386-447-6831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME 103310) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-12-06 |