Organization
ANESTHESIA SOLUTIONS OF CLERMONT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER W SPENCER MD (MEMBER)
(941) 360-1566
Entity
Organization
Contact information
Practice address
132 BENMORE DR, WINTER PARK, FL 32792-4101
(407) 756-1053
(407) 756-1054
Mailing address
PO BOX 864483, ORLANDO, FL 32886-4483
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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