| NPI | 1184629917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BOLOGNINI Administrative Director 561-659-6632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME0070879) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2010-10-21 |