| NPI | 1518910520 |
|---|---|
| Doing Business As | JLR ANESTHESIA ASSOC |
| Entity Type | Organization |
| Authorized Contact | GRACE HILTON Director Of Credentialing 321-422-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
| 207LC0200X Anesthesiology, Critical Care Medicine | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2021-10-07 |