Healthcare Provider Details

I. General information

NPI: 1568266898
Provider Name (Legal Business Name): RELIANCE ANESTHESIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14662 SW 22ND ST
MIAMI FL
33175-8080
US

IV. Provider business mailing address

14662 SW 22ND ST
MIAMI FL
33175-8080
US

V. Phone/Fax

Practice location:
  • Phone: 305-519-3296
  • Fax:
Mailing address:
  • Phone: 305-519-3296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. EDWARD SAUMELL
Title or Position: OWNER
Credential: DNP, CRNA, APRN
Phone: 305-519-3296