| NPI | 1295251577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL RODRIGUEZ Medical Director / Owner 941-792-9685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-11-13 |