| NPI | 1497892384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOIDEEN M MOOPEN Physician 941-625-1391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME35706) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME35706) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2010-09-22 |