Organization
LAKE COUNTY ANESTHESIA ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT C. PALMIRE JR. M.D. (PARTNER)
(352) 867-8311
Entity
Organization
Contact information
Practice address
1511 SW 1ST AVE, OCALA, FL 34471-6505
(352) 867-0516
(352) 867-5076
Mailing address
PO BOX 3130, OCALA, FL 34478-3130
(352) 867-0516
(352) 867-5076
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74504
BCBS FL
FL
Enumeration date
06/18/2006
Last updated
11/30/2007
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