| NPI | 1093958035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREENIVAS P. VANGARA Authorized Official 727-843-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2013-05-16 |