| NPI | 1598008955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTY BROWN Member 321-255-9671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207PE0004X Emergency Medicine, Emergency Medical Services | |
| 2085B0100X Radiology, Body Imaging | |
| 2085D0003X Radiology, Diagnostic Neuroimaging | |
| 2085N0700X Radiology, Neuroradiology | |
| 363A00000X Physician Assistant | |
| 2085N0904X Radiology, Nuclear Radiology | |
| 2085P0229X Radiology, Pediatric Radiology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 367H00000X Anesthesiologist Assistant | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2023-12-15 |