| NPI | 1154410272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D LAMPORT President 863-688-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME68610) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME36693) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2010-08-04 |