| NPI | 1699299537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE K. CROSS Owner 407-415-5796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME89809) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME89809) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2019-03-26 |