| NPI | 1134478209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONAK A PATEL Medical Director 904-389-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2021-05-25 |