| NPI | 1346436409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R DAVID SHEPARD President 813-876-5089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME54530) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2008-06-19 |