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Organization
RIVERSIDE ANESTHESIA SERVICES, LLC
Active
Organization
RIVERSIDE ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONAK A PATEL DO (MEDICAL DIRECTOR)
(904) 389-1010
Entity
Organization
Contact information
Practice address
7207 GOLDEN WINGS RD, STE 200, JACKSONVILLE, FL 32244-3313
(904) 389-1010
(904) 771-2191
Mailing address
PO BOX 864848, ORLANDO, FL 32886-4848
(239) 610-0775
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/05/2012
Last updated
05/25/2021
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