| NPI | 1053485698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO V DOMINGUEZ President 813-865-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-01-30 |