Organization
AHP OF CENTRAL FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY WACHOWIAK (PRESIDENT)
(770) 945-5330
Entity
Organization
Contact information
Practice address
1000 W MORENO ST, PENSACOLA, FL 32501-2316
(850) 434-4011
Mailing address
3079 PEACHTREE INDUSTRIAL BLVD, DULUTH, GA 30097-2215
(770) 945-5330
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
02/04/2009
Last updated
04/24/2009
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