| NPI | 1629020508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMON PRIEWE Md 352-867-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2011-09-15 |