| NPI | 1376960393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ELLIOTT President 772-530-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |