| NPI | 1629401898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN HOLZCLAW Vice President 561-623-2052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2022-06-10 |