| NPI | 1215154661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ MAZARA Billing Department 321-752-5210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME79573) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2010-09-15 |