| NPI | 1891726394 |
|---|---|
| Former Legal Business Name | DESTIN ANESTHESIA, PA |
| Entity Type | Organization |
| Authorized Contact | JEFF PERRY Manager 502-418-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-09-06 |