| NPI | 1306274048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY N. KOZLOV President & Managing Member 727-822-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL OS11865) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS11865) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |