| NPI | 1225403520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK MORRISON FITZ RANDOLPH Owner 813-263-7457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME47220) |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |