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Organization

PEDSED ANESTHESIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HECTOR VILA JR. MD (PRESIDENT)
(813) 777-7177
Entity
Organization

Contact information

Practice address
4416 W AZEELE ST, TAMPA, FL 33609-2613
(813) 777-7177
Mailing address
4416 W AZEELE ST, TAMPA, FL 33609-2613

Taxonomy

Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary

Other

Enumeration date
04/05/2024
Last updated
04/05/2024
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