| NPI | 1093158230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GARDNER Managing Member 561-444-9805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME84984) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2013-04-08 |