Healthcare Provider Details

I. General information

NPI: 1730402835
Provider Name (Legal Business Name): PATIENTS FIRST ANESTHESIA CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2010
Last Update Date: 03/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1062 CEASARS CT
MOUNT DORA FL
32757-6506
US

IV. Provider business mailing address

1062 CEASARS CT
MOUNT DORA FL
32757-6506
US

V. Phone/Fax

Practice location:
  • Phone: 352-360-8707
  • Fax:
Mailing address:
  • Phone: 352-360-8707
  • 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: DR. NAGESH BAILUR
Title or Position: OWNER
Credential: MD
Phone: 908-653-9399