Organization
LAKESIDE ANESTHESIA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW WEAVER (MANAGER)
(904) 395-7772
Entity
Organization
Contact information
Practice address
9143 PHILIPS HWY STE 515, JACKSONVILLE, FL 32256-1335
(904) 395-4840
(904) 306-1351
Mailing address
3020 HARTLEY RD STE 210, JACKSONVILLE, FL 32257-8206
(904) 395-7772
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/24/2024
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