Organization
FOREMOST ANESTHESIA STAFFING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEVID OSCAR MILLER M.D. (MANAGER)
(904) 215-7015
Entity
Organization
Contact information
Practice address
368 NE FRANKLIN ST, LAKE CITY, FL 32055-3088
(904) 215-7015
Mailing address
1665 KINGSLEY AVE, SUITE 105, ORANGE PARK, FL 32073-4490
(904) 215-7015
(904) 215-7715
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/17/2012
Last updated
01/21/2016
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