Healthcare Provider Details

I. General information

NPI: 1821454299
Provider Name (Legal Business Name): RELIANCE ANESTHESIA PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2016
Last Update Date: 01/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 PARK PLACE BLVD
DAVENPORT FL
33837-6858
US

IV. Provider business mailing address

9936 TURTLE BAY CT
ORLANDO FL
32832-5947
US

V. Phone/Fax

Practice location:
  • Phone: 407-256-0933
  • Fax: 407-774-0681
Mailing address:
  • Phone: 908-653-1283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. MAROJE A TURK
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 908-653-9399