Organization
DEARBORN DREAMS ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SREENIVAS P. VANGARA MD (AUTHORIZED OFFICIAL)
(727) 843-9200
Entity
Organization
Contact information
Practice address
5515 GULF DR, STE B, NEW PORT RICHEY, FL 34652-4033
(727) 843-9200
(727) 843-9400
Mailing address
6094 14TH ST W, STE 128, BRADENTON, FL 34207-4104
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
04/07/2009
Last updated
05/16/2013
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