| NPI | 1710975636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY DITARANTO President 941-376-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2018-08-21 |