| NPI | 1205172079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS M KALYNYCH Managing Member 904-412-2593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2022-07-19 |