| NPI | 1588800304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL RICHARDSON NOBACK Member 941-360-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |