Healthcare Provider Details

I. General information

NPI: 1538365507
Provider Name (Legal Business Name): NORTH WEST ANESTHESIOLOGIST GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 N STATE ROAD 7
MARGATE FL
33063-5727
US

IV. Provider business mailing address

PO BOX 550957
TAMPA FL
33655-0957
US

V. Phone/Fax

Practice location:
  • Phone: 957-974-0400
  • Fax:
Mailing address:
  • Phone: 866-286-9177
  • 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: GARY HINDIN
Title or Position: PRESIDENT
Credential: MD
Phone: 908-653-9399