| NPI | 1194026849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE GARDNER President 239-574-8616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME0034362) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2011-05-12 |