# ANESTHESIA OF INDIAN RIVER, INC.

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

## Provider details

- **NPI number:** 1750892121
- **Authorized official:** DR. DONALD PORTELL MD (ANESTHESIOLOGIST)
- **Authorized official phone:** (772) 778-9621

## Contact information

- **Practice address:** 1000 36TH ST, VERO BEACH, FL 32960-4862
- **Practice address phone:** (772) 567-4311
- **Mailing address:** 873 RYANWOOD DR, WEST PALM BEACH, FL 33413-1138
- **Mailing address phone:** (561) 632-4239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367H00000X | Anesthesiologist Assistant | AA425 | FL | Yes |

## Other

- **Enumeration date:** 10/12/2017
- **Last updated:** 10/12/2017