| NPI | 1205377595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK I. EISENFELD Member 941-360-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |