Organization
KEITH P HUSSEY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH P HUSSEY MD (PRESIDENT)
(239) 643-9767
Entity
Organization
Contact information
Practice address
681 GOODLETTE RD N, SUITE 130, NAPLES, FL 34102-5458
(239) 643-9767
(239) 649-5878
Mailing address
681 GOODLETTE RD N, SUITE 130, NAPLES, FL 34102-5458
(239) 643-9767
(239) 649-5878
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME46740
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049444500
—
FL
01
—
100010818
RAILROAD MEDICARE
FL
Enumeration date
10/10/2008
Last updated
12/08/2008
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