| NPI | 1366683179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS A. KUPERMAN Managing Partner 941-952-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2011-10-07 |