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Organization

BAYSHORE ANESTHESIA P A

Active
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Organization

BAYSHORE ANESTHESIA P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ARTHUR PAUL BROADERICK MD (MD/PRESIDENT)
(352) 867-8898
Entity
Organization

Contact information

Practice address
2190 HIGHWAY 85 N, NICEVILLE, FL 32578-1045
(352) 867-8898
(352) 732-6282
Mailing address
PO BOX 7419, ORLANDO, FL 32891-7419
(352) 867-8898
(352) 732-6282

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME69348
FL

Other

Enumeration date
09/16/2006
Last updated
08/09/2011
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