# SOUTHWEST FLORIDA ANESTHESIA, PA

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

## Provider details

- **NPI number:** 1659605194
- **Authorized official:** LYNDA M. WATERHOUSE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (239) 261-1158

## Contact information

- **Practice address:** 1336 CREEKSIDE BLVD, SUITE 1, NAPLES, FL 34108-1931
- **Practice address phone:** (239) 261-1158
- **Practice address fax:** (239) 261-4232
- **Mailing address:** PO BOX 198044, ATLANTA, GA 30384-8044
- **Mailing address phone:** (239) 261-1158
- **Mailing address fax:** (239) 261-4232

## Taxonomy

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

## Other

- **Enumeration date:** 10/01/2009
- **Last updated:** 01/26/2010