| NPI | 1063065811 |
|---|---|
| Former Legal Business Name | ETC SOUTHERN ANESTHESIA SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | EMILETTE TORRES Propietary 787-486-7759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |