Organization
FLORIDA ATLANTIC ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALENTINA PALMA (PRACTICE ADMINISTRATOR)
(954) 493-5005
Entity
Organization
Contact information
Practice address
1960 NE 47TH ST, 2ND FLOOR, FORT LAUDERDALE, FL 33308-7708
(954) 493-5005
(954) 938-0957
Mailing address
1960 NE 47TH ST, 2ND FLOOR, FORT LAUDERDALE, FL 33308-7708
(954) 493-5005
(954) 938-0957
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21926
BLUE CROSS BLUE SHIELD
FL
01
—
249141
AVMED
FL
05
—
255051200
—
FL
01
—
CI3594
RAILROAD MEDICARE
FL
Enumeration date
05/17/2006
Last updated
08/30/2010
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