| NPI | 1346255056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S GHIVIZZANI Owner 352-243-9114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2011-12-09 |