| NPI | 1528109485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES TRENTHAM Owner 954-545-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-08-26 |