Organization
CONSULTANT ANESTHETIC SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN HARLESS MD (OWNER)
(954) 545-0337
Entity
Organization
Contact information
Practice address
1500 LEE BLVD, LEHIGH ACRES, FL 33936-4835
(239) 368-4770
Mailing address
92 E MCNAB RD, POMPANO BEACH, FL 33060-9238
(954) 545-0337
(954) 545-3497
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
UNK
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00805
BLUE CROSS
FL
Enumeration date
07/21/2006
Last updated
08/22/2020
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