| 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 |