Organization
PEACE RIVER ANESTHESIOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY POLLIZZI M. D. (PRESIDENT)
(941) 625-1951
Entity
Organization
Contact information
Practice address
809 E MARION AVE, CHARLOTTE REGIONAL MEDICAL CENTER, PUNTA GORDA, FL 33950-3819
(941) 637-2580
(641) 637-2571
Mailing address
PO BOX 510626, PUNTA GORDA, FL 33951-0626
(941) 625-1951
(941) 625-3675
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72852
FL BLUE SHIELD GROUP PROV
FL
Enumeration date
11/15/2005
Last updated
08/22/2020
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