| NPI | 1538115589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JON HANUSA Physician Owner 941-761-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME94858) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2011-10-17 |