| NPI | 1912982703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN KONDAS Officer 954-939-5950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2021-10-26 |