| NPI | 1629314927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO DECARLI CEO 386-427-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL 82935) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2021-01-23 |