| NPI | 1093095333 |
|---|---|
| Doing Business As | IRHS-PRIMARY CARE SOUTH |
| Entity Type | Organization |
| Authorized Contact | JEFFREY L SUSI President/CEO 772-567-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-08-18 |