# SW FLORIDA ANESTHESIA SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053616003
- **Authorized official:** MR. DAVID W. HOLST (PRESIDENT, BOARD OF MANAGERS)
- **Authorized official phone:** (615) 345-6899

## Contact information

- **Practice address:** 4401 EVANS AVE, FORT MYERS, FL 33901
- **Practice address phone:** (615) 345-6900
- **Practice address fax:** (615) 345-6905
- **Mailing address:** 401 COMMERCE STREET, SUITE 740, NASHVILLE, TN 37219-2479
- **Mailing address phone:** (615) 345-6900
- **Mailing address fax:** (615) 345-6905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2011
- **Last updated:** 01/24/2011
