| NPI | 1932624913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICAC CARIDAD EASTWOOD Owner 904-608-3562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 3397792) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2017-08-10 |