Healthcare Provider Details

I. General information

NPI: 1215853940
Provider Name (Legal Business Name): LABOR SCRIPT AESTHESIA SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N WICKHAM RD SUITE L
MELBOURNE FL
32935
US

IV. Provider business mailing address

3960 DOMAIN CT
MELBOURNE FL
32934
US

V. Phone/Fax

Practice location:
  • Phone: 321-795-0497
  • Fax:
Mailing address:
  • Phone: 321-795-0497
  • 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: DANIELLE WARREN
Title or Position: MANAGER/CEO
Credential:
Phone: 321-795-0497