| NPI | 1740227867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY L SUSI CEO 772-567-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208M00000X Hospitalist |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2019-09-16 |