Healthcare Provider Details

I. General information

NPI: 1235468653
Provider Name (Legal Business Name): DELRAY ANESTHESIA SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2009
Last Update Date: 12/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4675 LINTON BLVD
DELRAY BEACH FL
33445-6615
US

IV. Provider business mailing address

4675 LINTON BLVD
DELRAY BEACH FL
33445-6615
US

V. Phone/Fax

Practice location:
  • Phone: 561-499-9585
  • Fax:
Mailing address:
  • Phone: 561-499-9585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANDREW ASTROVE
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 908-653-9399