Organization
EXECUTIVE ANESTHESIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MARVIN SWAN (PRINCIPAL)
(813) 340-4224
Entity
Organization
Contact information
Practice address
4532 W KENNEDY BLVD STE 134, TAMPA, FL 33609-2042
(731) 624-9595
Mailing address
4532 W KENNEDY BLVD STE 134, TAMPA, FL 33609-2042
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
03/07/2019
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