Organization
ANESTHESIA ASSOCIATES OF VERO BEACH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W. AGNEW M.D. (OWNER)
(772) 794-4236
Entity
Organization
Contact information
Practice address
1355 37TH ST, SUITE 304, VERO BEACH, FL 32960-7321
(772) 794-4236
(772) 794-4621
Mailing address
1355 37TH ST, SUITE 304, VERO BEACH, FL 32960-7321
(772) 794-4236
(772) 794-4621
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME89357
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16367
BLUE CROSS BLUE SHIELD FL
FL
01
—
AG586
MEDICARE PTAN
FL
Enumeration date
07/30/2007
Last updated
06/20/2008
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