Phoenix Anesthesia PLLC
Anesthesiology in Fort Pierce, FL. Organization (NPI-2).
NPI number1891231718
StatusActive
Last updated in NPPESJan 17, 2017
Details
- NPI
- 1891231718
- Entity type
- Organization (NPI-2)
- Legal business name
- Phoenix Anesthesia PLLC
- Organization subpart
- No
- Enumeration date
- Jan 17, 2017
- Last updated
- Jan 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
1331 N Lawnwood CirFort Pierce, FL 34950
Phone 772-489-5900 · Fax 772-489-2086
Mailing address
1331 N Lawnwood CirFort Pierce, FL 34950
Authorized official
Anjanaya Prasad R Korlipara
President
7724895900
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