| NPI | 1316057441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN CORMAN Practice Administrator 813-653-3359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME56348) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-09-16 |