| NPI | 1386626422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS GOLD President 954-838-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2020-08-22 |