| NPI | 1982851457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISELLA MARENGO Billing And Contract Manager 727-442-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: FL 812) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-28 |