| NPI | 1396992806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD A WEGNER President 863-471-1413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL ARNP 1422382) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |