NPI | 1801112438 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES D BISOGNO President/Physician 407-846-8288 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS4508) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL OS4508) |
Enumeration Date | 2010-04-07 |
Last Update Date | 2010-04-07 |