| NPI | 1851807531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA J MORENO Owner/ Provider 727-376-3065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2018-03-17 |