NPI | 1215218680 |
---|---|
Entity Type | Organization |
Authorized Contact | NARCISO L. GOMEZ Physician/President 954-369-5717 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: FL ME98664) |
Additional Taxonomies | 208600000X Surgery (Licence: FL ME98664) |
Enumeration Date | 2011-08-30 |
Last Update Date | 2011-09-28 |