Healthcare Provider Details

I. General information

NPI: 1790881183
Provider Name (Legal Business Name): SUNRISE ANESTHESIA ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 09/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 N UNIVERSITY DR FL 2
CORAL SPRINGS FL
33071-6089
US

IV. Provider business mailing address

PO BOX 17347
PLANTATION FL
33318-7347
US

V. Phone/Fax

Practice location:
  • Phone: 954-227-7760
  • Fax:
Mailing address:
  • Phone: 954-370-1053
  • Fax: 954-370-1533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN JAY AARONS
Title or Position: PRESIDENT
Credential: MD
Phone: 954-370-1053