| NPI | 1235591025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK C DILLON Owner 321-242-3227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME63710) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2020-05-13 |