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NPI Code Detail

MEDICARE: ANESTHESIOLOGY PROFESSIONALS LLC

MEDICARE: ANESTHESIOLOGY PROFESSIONALS 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
1261QA1903XAmbulatory Surgical Clinic/CenterME67170FL
2207L00000XAnesthesiology PhysicianME67170FL

General Provider Information

NPI Number : 1780823492
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANESTHESIOLOGY PROFESSIONALS LLC
Provider Business Mailing Address
First Line : PO BOX 465446
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30042-5446
Country : US
Telephone Number : 800-242-5080
Fax Number : 770-237-7346
Provider Business Practice Location Address
First Line : 130 TAMIAMI TRL N
Second Line : SUITE 210
City : NAPLES
State : FL
Zip : 34102-6233
Country : US
Telephone Number : 239-434-8707
Fax Number : 770-237-7346
Authorized Official
Title or Position : PRESIDENT
Name : JOHN J DOYLE
Credential : MD
Telephone Number : 904-825-0626
Provider Enumeration Date : 02/19/2009
Last Update Date : 10/31/2016

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Directions to “ANESTHESIOLOGY PROFESSIONALS LLC ” Practice Location

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