# HALLENDALE ANESTHESIA GRP LLC

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

## Provider details

- **NPI number:** 1972655561
- **Authorized official:** DR. MARK LWARENCE SCHWARTZ M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (954) 455-1668

## Contact information

- **Practice address:** 815 SE 1ST AVE, HALLANDALE BEACH, FL 33009-7102
- **Practice address phone:** (954) 455-1668
- **Practice address fax:** (954) 455-1669
- **Mailing address:** 815 SE 1ST AVE, HALLANDALE BEACH, FL 33009-7102
- **Mailing address phone:** (954) 455-1668
- **Mailing address fax:** (954) 455-1669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | OS 8808 | FL | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 08/30/2007