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Organization

MDA ANESTHESIA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIELA GHIRAGOSSIAN (ADMINISTRATOR)
(561) 268-6509
Entity
Organization

Contact information

Practice address
39200 HOOKER HWY, BELLE GLADE, FL 33430-5368
(561) 707-9149
Mailing address
2326 S CONGRESS AVE STE 1C, WEST PALM BEACH, FL 33406-7652

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207P00000X
Emergency Medicine Physician
207R00000X
Internal Medicine Physician

Other

Enumeration date
11/15/2019
Last updated
04/15/2026
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