# ANESTHESIA GROUP OF MICROSPINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MICROSPINE INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093760449
- **Legal business name:** MICROSPINE INC
- **Authorized official:** ANGEL D BARBER IX (ADMINISTRATOR)
- **Authorized official phone:** (850) 892-6001

## Contact information

- **Practice address:** 101 MICROSPINE WAY, DEFUNIAK SPRINGS, FL 32435-6323
- **Practice address phone:** (850) 892-6001
- **Practice address fax:** (850) 892-4212
- **Mailing address:** 101 MICROSPINE WAY, DEFUNIAK SPRINGS, FL 32435-6323
- **Mailing address phone:** (850) 892-6001
- **Mailing address fax:** (850) 892-4212

## Taxonomy

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

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 10/09/2007