Organization
BEACHSIDE ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MARGARET BOGER CRNA (PRESIDENT)
(321) 783-8926
Entity
Organization
Contact information
Practice address
95 BULLDOG BLVD, MELBOURNE, FL 32901-3332
(321) 729-9493
Mailing address
PO BOX 320281, COCOA BEACH, FL 32932-0281
(573) 686-5550
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9164912
STATE DEPT HEALTH
FL
Enumeration date
01/02/2018
Last updated
01/02/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up