| NPI | 1912446105 |
|---|---|
| Doing Business As | SOUTHEAST GASTRO |
| Entity Type | Organization |
| Authorized Contact | ALAN OLIVER CEO 786-530-3820 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2025-05-16 |