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Organization
ANESTHESIA OF INDIAN RIVER INC
Active
Organization
ANESTHESIA OF INDIAN RIVER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD PORTELL D.O. (AUTH REP)
(352) 867-8898
Entity
Organization
Contact information
Practice address
1555 INDIAN RIVER BLVD, SUITE B-120, VERO BEACH, FL 32960-7103
(352) 867-8898
(352) 732-6282
Mailing address
PO BOX 91853, ORLANDO, FL 32891-8953
(352) 867-8898
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
FL
Other
Enumeration date
05/31/2006
Last updated
09/17/2007
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