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Organization

MID FLORIDA ANESTHESIA ASSOCIATES, INC

Active
Other names
Coastal Pain Solutions
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARC I LEVINE M.D. (PRESIDENT)
(772) 337-7676
Entity
Organization

Contact information

Practice address
2100 SE OCEAN BLVD, SUITE 200, STUART, FL 34996-3332
(772) 223-2115
(772) 337-9034
Mailing address
75 REMITTANCE DR, SUITE 6633, CHICAGO, IL 60675-6633
(772) 337-7676
(772) 337-9034

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33576
BCBS OF FLORIDA
FL
05
377780400
FL
01
CH1211
RAILROAD MEDICARE
FL
Enumeration date
08/27/2007
Last updated
12/20/2012
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