Healthcare Provider Details
I. General information
NPI: 1184661696
Provider Name (Legal Business Name): ORLANDO ANESTHESIA CONSULTANTS PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/01/2006
Last Update Date: 09/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10000 W COLONIAL DR
OCOEE FL
34761-3498
US
IV. Provider business mailing address
1901 ULMERTON RD STE 485
CLEARWATER FL
33762-2312
US
V. Phone/Fax
- Phone: 407-667-0444
- Fax: 407-667-4338
- Phone: 727-210-8230
- Fax: 855-508-8465
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LC0200X |
| Taxonomy | Critical Care Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WILLIAM
SEFTON
Title or Position: PRESIDENT
Credential: MD
Phone: 407-592-7864