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General NPI Number Information
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NPI Number | 1730161993
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Entity Type | Organization
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Legal Business Name | SEBASTIAN RIVER ANESTHESIOLOGY ASSOCIATES, P. A.
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13695 US HIGHWAY 1 SEBASTIAN RIVER MEDICAL CENTER
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City | SEBASTIAN
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State | FL
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Zip | 32958-3230
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Country | US
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Telephone | 772-581-2080
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Fax | 772-581-2081
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Provider Business Mailing Address
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Address Line | PO BOX 510460
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City | PUNTA GORDA
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State | FL
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Zip | 33951-0460
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Country | US
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Telephone | 941-575-8227
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Fax | 941-575-1879
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY POLLIZZI
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Credential | M. D.
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Telephone | 941-575-8227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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