Organization
AMELIA ISLAND ANESTHESIA LLC
Active
Organization
AMELIA ISLAND ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESTER N HAUGE MD (OWNER)
(941) 752-1900
Entity
Organization
Contact information
Practice address
2416 LYNNDALE RD, SUITE 110, FERNANDINA BEACH, FL 32034-5252
(941) 752-1900
(941) 752-1905
Mailing address
1790 GARDENIA ST, FERNANDINA BEACH, FL 32034-1980
(941) 752-1900
(941) 752-1905
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME78635
FL
Other
Enumeration date
03/04/2008
Last updated
05/27/2008
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