| NPI | 1992955637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGI RUIZ Owner 772-589-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME95828) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2009-09-15 |