MEDICARE: AMO ANESTHESIA PA

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
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1730352055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMO ANESTHESIA PA

Provider Business Mailing Address
First Line	:	4947 CLARK RD
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34233-3252
Country	:	US
Telephone Number	:	941-926-0969
Fax Number	:	941-923-1281

Provider Business Practice Location Address
First Line	:	4947 CLARK RD
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34233-3252
Country	:	US
Telephone Number	:	941-926-0969
Fax Number	:	941-923-1281

Authorized Official
Title or Position	:	BILLING OFFICE MANAGER
Name	:	MRS. GAIL S LAMB
Credential	:
Telephone Number	:	941-926-0969

Provider Enumeration Date	:	04/08/2008
Last Update Date	:	04/08/2008

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Directions to “AMO ANESTHESIA PA ” Practice Location

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