Organization
LONGWOOD ANESTHESIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLEN A GILES MD (MEMBER)
(941) 360-1566
Entity
Organization
Contact information
Practice address
515 W SR 434, SUITE 105, LONGWOOD, FL 32750-4981
(407) 260-6000
(407) 260-0454
Mailing address
PO BOX 6249, SPRINGFIELD, IL 62708-6249
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/13/2015
Last updated
11/02/2017
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