| NPI | 1962169995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA HERNANDEZ Manager 561-300-2410 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2021-11-24 |