Organization
BAY AREA ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(877) 328-1119
Entity
Organization
Contact information
Practice address
6945 1ST AVE S, SOUTH PASADENA, FL 33707-1222
(877) 328-1119
Mailing address
PO BOX 743617, ATLANTA, GA 30374-3617
(877) 328-1119
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
08/05/2021
Last updated
05/19/2023
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