| NPI | 1528045002 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHRISTY A MCINTYRE Billing Supervisor 407-830-8661 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology | 
| Enumeration Date | 2005-12-27 | 
| Last Update Date | 2021-03-04 |