| NPI | 1043466311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEN PARM Administrator 407-834-7776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: FL 945) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2011-01-28 |