Organization
INTERVENTIONAL ANESTHESIA LLC
Active
Organization
INTERVENTIONAL ANESTHESIA LLC
Active
Parent organization
INTERVENTIONAL THERAPEUTICS INSTITUTE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERVENTIONAL THERAPEUTICS INSTITUTE LLC
Authorized official
MICHAEL MADEWELL (ADMINISTRATOR)
(850) 890-1407
Entity
Organization
Contact information
Practice address
5102 N DAVIS HWY, PENSACOLA, FL 32503-2030
(850) 549-4960
Mailing address
5102 N DAVIS HWY, PENSACOLA, FL 32503-2030
(850) 549-4960
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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