| NPI | 1396932596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBORNE Operations Manager 813-269-2422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME0053509) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2008-06-03 |