Organization
CENTRAL BREVARD ANESTHESIOLOGISTS, PA
Active
Organization
CENTRAL BREVARD ANESTHESIOLOGISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA ORPHANOS MD (PRESIDENT)
(321) 637-2616
Entity
Organization
Contact information
Practice address
110 LONGWOOD AVE, ATTN: 2ND FLOOR OPERATING ROOM, ROCKLEDGE, FL 32955
(321) 637-2616
(321) 637-2986
Mailing address
P.O. BOX 561420, ROCKLEDGE, FL 32956
(321) 637-2616
(321) 637-2986
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24916
BCBS
FL
05
—
375517700
—
FL
Enumeration date
06/04/2006
Last updated
11/21/2011
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