| 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 |