| NPI | 1114964095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE S. MITCHEL Owner 941-366-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME51847) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2009-09-22 |