| NPI | 1568015527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M RIVAS Physician Owner 954-451-5932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |