| NPI | 1285679126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI SHANNON GRISSO Practice Administrator 561-842-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: FL OS5469) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2012-09-24 |