| NPI | 1396952420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B SIMMONS Owner 863-299-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME60962) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-04-28 |