| NPI | 1295058550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BOULAY Owner 727-410-6399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME40296) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2016-11-30 |