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Organization
UP ANESTHESIA SERVICES LLC
Active
Organization
UP ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN CASTELLUCCI DO (MEDICAL DIRECTOR)
(888) 337-3509
Entity
Organization
Contact information
Practice address
200 3RD AVE W STE 170, BRADENTON, FL 34205-8632
(941) 782-5434
(941) 782-5438
Mailing address
4754 E STATE ROAD 64, BRADENTON, FL 34208-9058
(888) 337-3509
(941) 328-3997
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
12/19/2018
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