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 |