Organization
ANESTHESIOLOGISTS OF GREATER ORLANDO INC
Active
Organization
ANESTHESIOLOGISTS OF GREATER ORLANDO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(404) 450-4684
Entity
Organization
Contact information
Practice address
1053 MEDICAL CENTER DR, ORANGE CITY, FL 32763-8260
(954) 838-2371
Mailing address
PO BOX 744536, ATLANTA, GA 30374-4536
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004459504
—
FL
05
—
004459800
—
FL
05
—
004459801
—
FL
Enumeration date
05/10/2006
Last updated
03/22/2023
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