| NPI | 1932385200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES TERESA SANTIAGO Owner 727-415-8492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: FL me) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-02-26 |