| NPI | 1245651439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN S. DAITCH Authorized Official 239-267-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-12-15 |
| Last Update Date | 2014-05-14 |