| NPI | 1043579949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LINCOLN UMANA Sole Member 850-544-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9241655) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-10-03 |