| NPI | 1801130588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS A OLIN Director 407-667-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |