| NPI | 1790855161 |
|---|---|
| Former Legal Business Name | FREMONT ANESTHESIA CONSULTANTS MEDICAL GROUP, INC. |
| Entity Type | Organization |
| Authorized Contact | KAHTY KONDAS AO 954-838-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-12-18 |