Healthcare Provider Details

I. General information

NPI: 1528302866
Provider Name (Legal Business Name): SOUTH FLORIDA ANESTHESIA & PAIN TREATMENT, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2012
Last Update Date: 05/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 DOUGLAS ROAD
CORAL GABLES FL
33134-6914
US

IV. Provider business mailing address

PO BOX 33058
PALM BEACH GARDENS FL
33420-3058
US

V. Phone/Fax

Practice location:
  • Phone: 305-445-8461
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: TUSHAR RAMANI
Title or Position: PRESIDENT
Credential: MD
Phone: 561-623-2000