# ANESTHESIA OF INDIAN RIVER INC

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

## Provider details

- **NPI number:** 1225085442
- **Authorized official:** DONALD PORTELL D.O. (AUTH REP)
- **Authorized official phone:** (352) 867-8898

## Contact information

- **Practice address:** 1555 INDIAN RIVER BLVD, SUITE B-120, VERO BEACH, FL 32960-7103
- **Practice address phone:** (352) 867-8898
- **Practice address fax:** (352) 732-6282
- **Mailing address:** PO BOX 91853, ORLANDO, FL 32891-8953
- **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 |

## Other

- **Enumeration date:** 05/31/2006
- **Last updated:** 09/17/2007