Healthcare Provider Details

I. General information

NPI: 1457434763
Provider Name (Legal Business Name): ANESTHESIA & PAIN PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 05/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 S HARBOR CITY BLVD STE 520
MELBOURNE FL
32901-5591
US

IV. Provider business mailing address

PO BOX 161518
MIAMI FL
33116-1518
US

V. Phone/Fax

Practice location:
  • Phone: 321-409-9990
  • Fax:
Mailing address:
  • Phone: 866-226-9156
  • Fax:

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. JOSEPH STERLING
Title or Position: OWNER
Credential: MD
Phone: 908-653-9399