| NPI | 1396419032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT ANDREW BAILEY VP Finance 321-268-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-05 |