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Organization
WEST COAST ANESTHESIOLOGY ASSOCIATES
Active
Organization
WEST COAST ANESTHESIOLOGY ASSOCIATES
Active
Other names
Pain Medicine Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLO A REYES (PRACTICE MANAGER)
(941) 365-5672
Entity
Organization
Contact information
Practice address
2621 CATTLEMEN RD STE 202, SARASOTA, FL 34232-6212
(941) 365-5672
(941) 365-5854
Mailing address
2621 CATTLEMEN RD STE 202, SARASOTA, FL 34232-6212
(941) 365-5672
(941) 365-5854
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME37642
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME116503
FL
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLB7M
BCBS
—
Enumeration date
12/18/2006
Last updated
11/14/2022
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