NPI | 1023219359 |
---|---|
Entity Type | Organization |
Authorized Contact | JOE BLAIR Partner 727-710-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL ARNP9227844) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2020-08-22 |