Organization
ANTHONY PORTUGAL PLLC
Active
Other names
Cryo Anesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY PORTUGAL CRNA (OWNER)
(954) 829-3442
Entity
Organization
Contact information
Practice address
4600 LINTON BLVD STE 100, DELRAY BEACH, FL 33445-6600
(954) 829-3442
Mailing address
2770 NE 53RD CT, LIGHTHOUSE POINT, FL 33064-7856
(954) 829-3254
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
09/05/2023
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