| NPI | 1225168701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALAN GOODMAN Owner 352-742-7776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME66294) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-07-08 |