| NPI | 1780787382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL THEODORE MCCLENATHAN Owner 727-822-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-05-18 |