| NPI | 1205592185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JEFFREY SLEPIN Officer 561-629-3047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2023-09-06 |