| NPI | 1710598859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE HILTON Director Of Credentialing 321-422-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |