Healthcare Provider Details

I. General information

NPI: 1841470523
Provider Name (Legal Business Name): ANESCO MEDICAL SERVICES-THH LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2007
Last Update Date: 11/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 EAST 25TH STREET HIALEAH HOSPITAL
HIALEAH FL
33013
US

IV. Provider business mailing address

4631 NW 31ST AVENUE #129 ANESCO MEDICAL SERVICES- THH LP
FORT LAUDERDALE FL
33309
US

V. Phone/Fax

Practice location:
  • Phone: 305-693-6100
  • Fax:
Mailing address:
  • Phone: 954-485-5666
  • Fax: 954-484-1651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. RICHARD MELI
Title or Position: CEO
Credential: M.D.
Phone: 954-485-5666