| NPI | 1134421589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR IBANEZ President 561-738-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME35446) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |