NPI | 1992841662 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD ROTH President 352-253-0244 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME34473) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2007-09-18 |