| NPI | 1588934756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONDRA E SHIELDS Owner 813-978-3579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME62444) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME62444) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-03-23 |