| NPI | 1851413074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX L GOMEZ Physician 321-690-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME0056227) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-10-31 |