| 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 |