Organization
AMBULATORY ANESTHESIA PROVIDERS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA BERON (OFFICE MGR)
(386) 274-1744
Entity
Organization
Contact information
Practice address
1890 LPGA BLVD, SUITE 210, DAYTONA BEACH, FL 32117-7130
(386) 274-1744
(386) 274-1644
Mailing address
1890 LPGA BLVD, SUITE 210, DAYTONA BEACH, FL 32117-7130
(386) 274-1744
(386) 274-1644
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
Other
Enumeration date
07/18/2006
Last updated
06/01/2010
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