| NPI | 1356694723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH P HUSSEY President 239-649-1037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME46740) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |