NPI | 1962731810 |
---|---|
Doing Business As | INFECTIOUS DISEASE PRACTICE |
Entity Type | Organization |
Authorized Contact | JEFFREY L SUSI CEO 772-567-4311 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL 4029) |
Enumeration Date | 2009-12-23 |
Last Update Date | 2019-09-16 |