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 |