| NPI | 1962537191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA G KENWARD President 305-667-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME 0043412) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |