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Organization
SOUTH LAKE ANESTHESIA SERVICES, P.A.
Active
Organization
SOUTH LAKE ANESTHESIA SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CONNOR (ADMINISTRATOR)
(352) 243-9114
Entity
Organization
Contact information
Practice address
1099 CITRUS TOWER BLVD, CLERMONT, FL 34711-1947
(352) 394-4071
Mailing address
1381 CITRUS TOWER BLVD, SUITE 4, CLERMONT, FL 34711-1957
(352) 243-9114
(352) 243-7822
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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