# NOVA ANESTHESIA PROVIDERS LLC

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

## Provider details

- **NPI number:** 1861874091
- **Authorized official:** ALAN F ANSHER (MEMBER)
- **Authorized official phone:** (941) 360-1566

## Contact information

- **Practice address:** 4660 KENMORE AVE, STE 100, ALEXANDRIA, VA 22304-1313
- **Practice address phone:** (703) 751-5763
- **Practice address fax:** (703) 370-4655
- **Mailing address:** 6094 14TH ST W, STE 133, BRADENTON, FL 34207-4104
- **Mailing address phone:** (941) 360-1566
- **Mailing address fax:** (941) 358-9818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2015
- **Last updated:** 06/24/2015