| NPI | 1033773346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS M KALYNYCH CEO Managing Partner 904-328-6749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |