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Organization

POLK COUNTY ANESTHESIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNMARIE E WEEKES DO (PRESIDENT)
(863) 648-0377
Entity
Organization

Contact information

Practice address
2200 OSPREY BLVD, BARTOW, FL 33830-3308
(863) 519-1416
(863) 519-1427
Mailing address
912 HAMILTON PLACE DR, LAKELAND, FL 33813-2667
(863) 648-0377
(863) 648-0377

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS6136
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40255
BCBS
FL
Enumeration date
07/08/2006
Last updated
08/22/2020
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