| NPI | 1700173010 |
|---|---|
| Doing Business As | IRMA FAMILY PRACTICE NORTH |
| Entity Type | Organization |
| Authorized Contact | JEFFREY L SUSI President/CEO 772-567-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME110076) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |