Ahp Of South Broward LLC
Nurse Anesthetist, Certified Registered in Hollywood, FL. Organization (NPI-2).
NPI number1043520091
StatusActive
Last updated in NPPESFeb 17, 2011
Details
- NPI
- 1043520091
- Entity type
- Organization (NPI-2)
- Legal business name
- Ahp Of South Broward LLC
- Organization subpart
- No
- Enumeration date
- Oct 8, 2010
- Last updated
- Feb 17, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | Yes |
Practice location
11011 Sheridan StSuite 106
Hollywood, FL 33026-1505
Phone 645-435-0101
Mailing address
3079 Peachtree Industrial BlvdDuluth, GA 30097-2215
Phone 770-945-5330 · Fax 678-546-3606
Authorized official
Allison Rose Blasetti
Director Credentialing & Enrollment
7709455330
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