| NPI | 1053647545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDD LEGRANDE Md 813-935-3283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL MD0069491) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |