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General NPI Number Information
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NPI Number | 1588842819
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Entity Type | Organization
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Legal Business Name | DELROSARIO ANESTHESIA LLC
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Dates
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Enumeration Date | 02/08/2008
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 1283 JACARANDA BLVD
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City | VENICE
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State | FL
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Zip | 34292-4522
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Country | US
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Telephone | 941-497-5660
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Fax | 941-492-3924
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Provider Business Mailing Address
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Address Line | PO BOX 50572
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City | SARASOTA
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State | FL
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Zip | 34232-0304
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Country | US
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Telephone | 941-266-3874
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Fax | 941-358-3444
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALLAN DELROSARIO
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Credential | MD
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Telephone | 941-266-3874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME 74543
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License Number State | FL
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