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NPI Code Detail

MEDICARE: GLOBAL ANESTHESIA EXECUTIVE SERVICES LLC

MEDICARE: GLOBAL ANESTHESIA EXECUTIVE SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianME100973FL

General Provider Information

NPI Number : 1053803007
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLOBAL ANESTHESIA EXECUTIVE SERVICES LLC
Provider Business Mailing Address
First Line : 3296 N FEDERAL HWY UNIT 11205
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33306-1033
Country : US
Telephone Number : 973-698-7768
Fax Number : 888-371-1413
Provider Business Practice Location Address
First Line : 3536 N FEDERAL HWY STE 102
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-6264
Country : US
Telephone Number : 888-221-5754
Fax Number : 888-371-1413
Authorized Official
Title or Position : MANAGER
Name : DR. JANICE VICTOR
Credential : MD
Telephone Number : 888-221-5754
Provider Enumeration Date : 06/05/2018
Last Update Date : 06/05/2018

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Directions to “GLOBAL ANESTHESIA EXECUTIVE SERVICES LLC ” Practice Location

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