| NPI | 1740609304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAMBI DURIK Mgrm 321-704-2544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9300056) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |