| NPI | 1447232137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY KONDAS Officer 954-838-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2019-08-09 |