Organization
APOLLO MEDICAL GROUP OF UPPER BAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN VAN SPRUNDEL (DIRECTOR OF ADMINISTRATION)
(941) 725-1198
Entity
Organization
Contact information
Practice address
360 E PULASKI HWY STE 2A, ELKTON, MD 21921-6595
(410) 620-3348
(410) 620-3351
Mailing address
PO BOX 2985, SPRINGFIELD, IL 62708-2985
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/13/2018
Last updated
04/05/2023
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