Organization
DAVENPORT ANESTHESIA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY K KASTNER (ADMINISTRATOR)
(407) 256-0933
Entity
Organization
Contact information
Practice address
107 PARK PLACE BLVD, DAVENPORT, FL 33837-6858
(863) 419-2812
(863) 419-2821
Mailing address
107 PARK PLACE BLVD, DAVENPORT, FL 33837-6858
(863) 419-2812
(863) 419-2821
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
05/31/2016
Last updated
07/09/2021
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