| NPI | 1336454214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN B EDGERTON Owner 813-875-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME0027671) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |