| NPI | 1083812275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD LEICHUS Owner 850-933-1885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME69965) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2013-11-04 |