| NPI | 1003009093 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NED JOHN PANARA Doctor And Owner 863-519-0902  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology | 
| Enumeration Date | 2007-08-22 | 
| Last Update Date | 2015-03-10 |