| NPI | 1942977624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIRA DAIL Credentialing Director 813-493-2889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2025-03-12 |