| NPI | 1083484000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITE GARNER Vice President Operations 904-298-9590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-12-19 |