| NPI | 1386161099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDOLPH PAVLESICH President 904-535-1875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9178468) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |