Organization
ABDOMINAL PAIN ANESTHESIA OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL RICHARDSON NOBACK MD (MEDICAL DIRECTOR)
(888) 337-3509
Entity
Organization
Contact information
Practice address
3885 OAKWATER CIR, ORLANDO, FL 32806-6257
(407) 438-9533
Mailing address
5700 MIDNIGHT PASS RD, ST. 4, SARASOTA, FL 34242-3083
(888) 337-3509
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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