NPI Code Details Logo

NPI 1700528346

NPI 1700528346 : CENTURION ANESTHESIA - FL LLC : HOLLYWOOD, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1700528346
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CENTURION ANESTHESIA - FL LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/13/2022
-----------------------------------------------------
    Last Update Date     |    11/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3800 JOHNSON ST STE D 
-----------------------------------------------------
    City                 |    HOLLYWOOD
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33021-6052
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    718-550-8600
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 24243 
-----------------------------------------------------
    City                 |    NEW YORK
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10087-0443
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    718-550-8600
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MD
-----------------------------------------------------
    Name                 |     AVISHAI  NEUMAN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    718-550-8600
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207L00000X
-----------------------------------------------------
    Taxonomy Name        |    Anesthesiology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.