| NPI | 1144454703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL PARR Credentialing Specialist 727-329-3371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND7225) |
| 207RI0008X Internal Medicine, Hepatology (Licence: FL ME68156) | |
| 207ZC0500X Pathology, Cytopathology (Licence: FL OS4755) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2021-09-28 |