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General NPI Number Information
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NPI Number | 1932595741
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Entity Type | Organization
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Legal Business Name | FLORIDA ANESTHESIA SPECIALISTS, INC.
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 907 N FEDERAL HWY
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-3224
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Country | US
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Telephone | 561-292-3747
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Fax | 561-292-3730
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Provider Business Mailing Address
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Address Line | 907 N FEDERAL HWY
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-3224
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Country | US
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Telephone | 561-292-3747
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Fax | 561-292-3730
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MS. DARLENE CAROL VANCE
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Credential |
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Telephone | 561-292-3747
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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 | ME114719
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License Number State | FL
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