| NPI | 1790868099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS BREYLEY Practice Administrator 239-772-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-07-21 |