Atlantic Coast Anesthesia Associates
Anesthesiology in Port St Lucie, FL. Organization (NPI-2).
NPI number1669425641
StatusActive
Last updated in NPPESAug 7, 2007
Details
- NPI
- 1669425641
- Entity type
- Organization (NPI-2)
- Legal business name
- Atlantic Coast Anesthesia Associates
- Organization subpart
- No
- Enumeration date
- May 18, 2006
- Last updated
- Aug 7, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
1800 Se Tiffany AvePort St Lucie, FL 34952-7521
Phone 772-335-2471 · Fax 772-335-2497
Mailing address
Po Box 7520Port St Lucie, FL 34985-7520
Phone 772-335-2471 · Fax 772-335-2497
Authorized official
Keith E Ingram
President
7723352471
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