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Organization

MOONLIGHT ANESTHESIA, P.L.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA MARANO (ADMINISTRATOR)
(239) 489-3166
Entity
Organization

Contact information

Practice address
5238 MASON CORBIN CT, SUITE 101, FORT MYERS, FL 33907-7738
(239) 489-3166
(239) 481-3650
Mailing address
PO BOX 07272, FORT MYERS, FL 33919-0272
(239) 489-3166
(239) 481-3650

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME97767
FL

Other

Enumeration date
10/28/2010
Last updated
10/28/2010
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