Organization
WEST COAST ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO BUENO M.D. (PRESIDENT)
(352) 344-8080
Entity
Organization
Contact information
Practice address
3621 E FOREST DR, INVERNESS, FL 34453-0787
(352) 637-2787
(352) 637-2525
Mailing address
3653 E FOREST DR, INVERNESS, FL 34453-0787
(352) 344-8080
(352) 344-0631
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
80110256715
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138804AF
PREFCARE
—
01
—
9739978
GHI
NY
01
—
AVMED HEALTH PLAN
292827
FL
Enumeration date
04/05/2006
Last updated
08/22/2020
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