| NPI | 1659605194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA M. WATERHOUSE Executive Director 239-261-1158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2010-01-26 |