| NPI | 1811292899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONOR SANTOS Owner 352-404-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME77216) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-01-24 |