Organization
SOUTHPOINT ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GOL (MANAGER)
(904) 265-6412
Entity
Organization
Contact information
Practice address
7051 SOUTHPOINT PKWY, 1ST FLOOR, JACKSONVILLE, FL 32216-8713
(904) 854-4854
Mailing address
6094 14TH ST W, STE 161, BRADENTON, FL 34207-4104
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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