| NPI | 1013313733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY L. SEVERS Member Manager 941-745-6829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |