NPI | 1508021684 |
---|---|
Doing Business As | EMERALD COAST GASTROENTEROLOGY |
Entity Type | Organization |
Authorized Contact | GRACE KLIN Office Manager 850-215-7071 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME85851) |
Enumeration Date | 2008-07-28 |
Last Update Date | 2008-09-23 |