# NORTHWEST ANESTHESIOLOGIST GROUP PA

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

## Provider details

- **NPI number:** 1194925016
- **Authorized official:** DR. EDWIN RISI MD (MD/PRESIDENT)
- **Authorized official phone:** (352) 867-8898

## Contact information

- **Practice address:** 1100 NW 95TH STREET, MIAMI, FL 33150
- **Practice address phone:** (352) 867-8898
- **Practice address fax:** (352) 732-6282
- **Mailing address:** PO BOX 550957, TAMPA, FL 33655-0957
- **Mailing address phone:** (352) 867-8898
- **Mailing address fax:** (352) 732-6282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | FL | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | FL | — |

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 07/19/2007