| NPI | 1073178232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYMAN ELFAR Member/Manager 941-360-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-09-10 |