| NPI | 1124076484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY CASS President 352-867-8898 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME45763) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME45763) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2012-05-04 |