Healthcare Provider Details

I. General information

NPI: 1821369349
Provider Name (Legal Business Name): ASMAR ANESTHESIA PROVIDERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2012
Last Update Date: 10/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2741 DUNSINANE RD
PENSACOLA FL
32503-5814
US

IV. Provider business mailing address

PO BOX 12356
PENSACOLA FL
32591-2356
US

V. Phone/Fax

Practice location:
  • Phone: 850-529-1919
  • Fax: 850-607-8006
Mailing address:
  • Phone: 850-529-1919
  • Fax: 850-607-8006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME85156
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberME85156
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberMD33357
License Number StateAL

VIII. Authorized Official

Name: PHILIP E ASMAR
Title or Position: REGIONAL ANESTHESIOLOGIST
Credential: M.D.
Phone: 850-529-1919