| NPI | 1831334663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL PETUSEVSKY Physician 239-263-8385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME42752) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2014-02-18 |