# BETHLEHEM PROFESSIONAL ANESTHESIA SERVICES PC

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

## Provider details

- **NPI number:** 1649559089
- **Authorized official:** JEFF D. PARKS (VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (813) 569-6500

## Contact information

- **Practice address:** 2851 BAGLYOS CIR STE 100, BETHLEHEM, PA 18020-8038
- **Practice address phone:** (424) 821-0550
- **Practice address fax:** (424) 821-0559
- **Mailing address:** 5501 W GRAY ST, TAMPA, FL 33609-1007
- **Mailing address phone:** (813) 569-6500
- **Mailing address fax:** (813) 864-4030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2011
- **Last updated:** 08/16/2011