| NPI | 1598954273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE P MCCOSKEY Manager 321-385-0884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME59323) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2010-08-24 |