| NPI | 1427413822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON MACK JOHNSON Owner 352-572-0427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9231283) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |