| NPI | 1184963795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND W PHILLIPS President 239-649-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP2027442) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9330297) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2021-09-03 |