| NPI | 1932485596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMILDRE PACHECO Practice Administrator 352-394-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS8836) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2016-11-17 |