| NPI | 1609109271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER MARTIN HASEK Member 850-235-8948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2012-11-28 |