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Fleming Island Anesthesia LLC

Anesthesiology in Orange Park, FL. Organization (NPI-2).

NPI number1487945895
StatusActive
Last updated in NPPESDec 27, 2022

Details

NPI
1487945895
Entity type
Organization (NPI-2)
Legal business name
Fleming Island Anesthesia LLC
Organization subpart
No
Enumeration date
Apr 20, 2011
Certification date
Dec 27, 2022
Last updated
Dec 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology––Yes
367500000X Nurse Anesthetist, Certified Registered––

Practice location

1670 Eagle Harbor Pkwy
Orange Park, FL 32003-4820

Phone 904-644-0700

Mailing address

Lb# 8532 Po Box 95000
Philadelphia, PA 19195-0001

Authorized official

Laura Adkins
Manager
8284240869

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