NPI | 1417275595 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWKAT KERO President 352-596-8995 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME0043866) |
Enumeration Date | 2010-05-13 |
Last Update Date | 2010-05-13 |