| NPI | 1184722373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN L. VAN SPRUNDEL Credentialing Manager 941-360-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-16 |