| NPI | 1770050452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THIMMIAH KUMAR Physician Owner 352-789-6575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2019-12-06 |