| NPI | 1811182975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN MINICOZZI Administrative Assistant 727-595-2519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL os 9920) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |