| NPI | 1962074070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA HERNANDEZ Manager 561-300-2410 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2022-07-07 |