Organization
GULF COAST ANESTHESIA ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SING LONG CHANG MD (PRESIDENT)
(727) 845-1736
Entity
Organization
Contact information
Practice address
21298 OLEAN BLVD, PORT CHARLOTTE, FL 33949
(941) 627-6110
Mailing address
5424 GRAND BLVD, NEW PORT RICHEY, FL 34652-4008
(727) 845-1736
(727) 849-0759
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259897300
—
FL
Enumeration date
06/14/2006
Last updated
11/08/2007
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