NPI | 1326588054 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER SMITH-FERNANDEZ Manager 239-513-0055 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME98168) |
Enumeration Date | 2017-02-28 |
Last Update Date | 2017-06-27 |