Organization
ATHENA ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY DURRETT MD (OWNER)
(941) 539-7919
Entity
Organization
Contact information
Practice address
333 TAMIAMI TRL S STE 169-171, VENICE, FL 34285-2402
(941) 539-7919
Mailing address
21289 WACISSA DR, VENICE, FL 34293-2696
(941) 539-7919
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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