Lawnwood Anesthesia Providers LLC
Anesthesiology in Fort Pierce, FL. Organization (NPI-2).
NPI number1033729975
StatusActive
Last updated in NPPESMay 4, 2023
Details
- NPI
- 1033729975
- Entity type
- Organization (NPI-2)
- Legal business name
- Lawnwood Anesthesia Providers LLC
- Organization subpart
- No
- Enumeration date
- Aug 5, 2020
- Certification date
- May 4, 2023
- Last updated
- May 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
| 207LP2900X | Anesthesiology, Pain Medicine | – | – | |
| 367500000X | Nurse Anesthetist, Certified Registered | – | – |
Practice location
1700 S 23rd StFort Pierce, FL 34950-4803
Phone 772-461-4000
Mailing address
Po Box 745851Atlanta, GA 30374-5851
Authorized official
Karen Vaughn
Officer
9195185000
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