| NPI | 1982892857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH G SPANO Md 239-263-4470 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME15497) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2008-08-13 |