| NPI | 1871928812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN HOLTZCLAW Owner 561-623-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2022-04-11 |