Healthcare Provider Details

I. General information

NPI: 1750492823
Provider Name (Legal Business Name): STERLING ANESTHESIA OF FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 E 25TH ST
HIALEAH FL
33013-3814
US

IV. Provider business mailing address

PO BOX 759148
BALTIMORE MD
21275-0001
US

V. Phone/Fax

Practice location:
  • Phone: 443-332-4088
  • Fax: 410-793-0809
Mailing address:
  • Phone: 443-332-4088
  • Fax: 410-793-0809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: OSCAR MENDOZA
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 443-332-4088