Organization
SANTA ROSA GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERI A RUSYNYK (OFFICE MANAGER)
(850) 748-4420
Entity
Organization
Contact information
Practice address
5992 BERRYHILL RD, SUITE 201, MILTON, FL 32570-1013
(850) 626-9626
(850) 626-9606
Mailing address
5992 BERRYHILL RD, SUITE 201, MILTON, FL 32570-1013
(850) 626-9626
(850) 626-9606
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
03/20/2008
Last updated
12/20/2010
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