| NPI | 1093003535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE SCOTT MITCHEL Authorized Official 941-232-4486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2022-05-09 |