| NPI | 1447946017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY PORTUGAL Owner 954-829-3442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LP2900X Anesthesiology Pain Medicine | |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-09-05 |