| NPI | 1326362310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA ELAINE MCNEIL Owner 772-462-6606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL 0075634) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |