Organization
PARKVILLE ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH C. LIN MD (AUTHORIZED OFFICIAL)
(410) 574-7776
Entity
Organization
Contact information
Practice address
19 FONTANA LN, STE 104, BALTIMORE, MD 21237-3047
(410) 574-7776
Mailing address
6094 14TH ST W, STE 136, BRADENTON, FL 34207-4104
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
MD
367500000X
Certified Registered Nurse Anesthetist
—
MD
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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