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NPI Code Detail

MEDICARE: ANESTHESIA DYNAMICS LLC

MEDICARE: ANESTHESIA DYNAMICS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1174297212
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANESTHESIA DYNAMICS LLC
Provider Business Mailing Address
First Line : LB #8247 PO BOX 95000
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19195-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2320 N ORANGE AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32804-5506
Country : US
Telephone Number : 240-469-2181
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : LAURA G ADKINS
Credential :
Telephone Number : 240-469-2181
Provider Enumeration Date : 08/03/2021
Last Update Date : 09/21/2021

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Directions to “ANESTHESIA DYNAMICS LLC ” Practice Location

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