| NPI | 1871532226 | 
|---|---|
| Former Legal Business Name | SHAO, GINCAUSKAS, BENTZ & NALLEY M.D.'S, P.A. | 
| Entity Type | Organization | 
| Authorized Contact | JAMES H. NALLEY President 850-471-0707  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology | 
| Enumeration Date | 2006-06-04 | 
| Last Update Date | 2013-04-25 |