| NPI | 1154354199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON E COLINA Owner 941-373-0151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME77522) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-08-24 |