| NPI | 1821587544 |
|---|---|
| Other Name | SHRINERS FOR CHILDREN PROFESSIONAL ANESTHESIA SERVICES |
| Entity Type | Organization |
| Authorized Contact | JERRY G. GANTT President 813-281-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |