| NPI | 1649353087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE LEVY KAISER President / Owner 407-628-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: FL ME 61763) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2007-11-13 |