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Organization
PROACTIVE ANESTHESIA MANAGEMENT LLC
Active
Organization
PROACTIVE ANESTHESIA MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAN DAVIES (CEO)
(904) 274-3310
Entity
Organization
Contact information
Practice address
320 1ST ST N, SUITE 603, JACKSONVILLE BEACH, FL 32250-6944
(904) 274-3310
Mailing address
320 1ST ST N, SUITE 603, JACKSONVILLE BEACH, FL 32250-6944
(904) 274-3310
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/10/2012
Last updated
06/21/2013
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