| NPI | 1609215730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDEE GEORGETTE COPPALA Manager/Owner 321-759-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP 9217913) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-07-19 |