| NPI | 1700075553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES KLODELL Mbr 352-332-0149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |