| NPI | 1356650535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD HENRY DOMINGUEZ President 813-872-7987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME0008716) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |