| NPI | 1720242894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL R NOBACK Owner 941-360-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |