Organization
OPHTHALMOLOGY ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENETHA MORAN (AUTHORIZED OFFICIAL)
(972) 763-3893
Entity
Organization
Contact information
Practice address
105 BONNIE LOCH CT, ORLANDO, FL 32806-2909
(407) 428-0040
(407) 428-0045
Mailing address
105 BONNIE LOCH CT, ORLANDO, FL 32806-2909
(407) 428-0040
(407) 428-0045
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/24/2006
Last updated
09/19/2017
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