# BAYSHORE ANESTHESIA P A

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

## Provider details

- **NPI number:** 1659477461
- **Authorized official:** DR. ARTHUR PAUL BROADERICK MD (MD/PRESIDENT)
- **Authorized official phone:** (352) 867-8898

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 08/09/2011