Organization
WEST FLORIDA CARDIAC ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD A. DEFREITAS MD (MEMBER)
(941) 798-3524
Entity
Organization
Contact information
Practice address
21298 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6705
(941) 360-1566
(941) 358-9818
Mailing address
PO BOX 31603, TAMPA, FL 33631-3603
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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