| NPI | 1255577953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER KLINE Office Manager 772-567-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME0059271) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2009-02-04 |