Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME109206 | FL |
N | 111NI0900X | Internist | ME109206 | FL |
N | 207RH0000X | Hematologist | ME109206 | FL |
Y | 207RX0202X | Medical Oncology | ME109206 | FL |
NPI | 1154598068 |
---|---|
Provider Name | Susmitha Apuri |
First Address | Fort Myers, FL 33916-2216 |
Second Address | Inverness, FL 34453 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2008 |
Last Update Date | 01/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003482400 | (05) | FL |