NPI | 1699059808 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL ANGELO PEZZONE President 352-674-8700 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD060508L) |
Enumeration Date | 2011-10-06 |
Last Update Date | 2016-10-17 |