Organization
VALANT ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK I. EISENFELD MD (MEMBER)
(941) 360-1566
Entity
Organization
Contact information
Practice address
10521 SW VILLAGE CENTER DR, SUITE 104, PORT ST LUCIE, FL 34987-1930
(772) 345-8602
(772) 345-8605
Mailing address
PO BOX 740485, ATLANTA, GA 30374-0485
(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
03/20/2017
Last updated
03/20/2017
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