| NPI | 1417426552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE TORRES Billing Manager 352-362-8438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |