| NPI | 1134590144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARRERE Owner 239-278-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL me85054) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |