| NPI | 1942334057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN PAYNE Vice President 850-763-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2012-11-14 |