| NPI | 1376036145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA POTREKUS PEREZ Director Of Operations 863-824-3447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |