| Organization Name: | IM GERIATRICS GI LLC |
| NPI Number: | 1215115910 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NOREEN A. COTTER (MANAGER) |
| Mailing Address: | 2330 Sw Williston Rd Suite 2616 Gainesville |
| State: | FL US |
| Postal Code: | 326084000 |
| Phone Number: | 3523281529 |
| Fax Number: | 3525484801 |
| NPI Enumeration Date: | 02/05/2008 |
| NPI Last Update Date: | 04/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | L07000118073 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |