| NPI | 1982726766 |
|---|---|
| Other Name | NA |
| Entity Type | Organization |
| Authorized Contact | PETER E. BALSAM Owner 321-264-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME46070) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2010-01-27 |