Healthcare Provider Details

I. General information

NPI: 1891876264
Provider Name (Legal Business Name): ANESTHESIA CONSULTANTS OF SOUTH FLORIDA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 06/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7990 CORAL WAY
MIAMI FL
33155-6550
US

IV. Provider business mailing address

7990 CORAL WAY
MIAMI FL
33155-6550
US

V. Phone/Fax

Practice location:
  • Phone: 305-266-1565
  • Fax: 305-222-6199
Mailing address:
  • Phone: 305-266-1565
  • Fax: 305-222-6199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME-0063186
License Number StateFL

VIII. Authorized Official

Name: DR. JUAN C OJEA-JIMENEZ
Title or Position: MEDICAL DOCTOR/PRESIDENT
Credential: MD
Phone: 305-266-1565