Organization
ADVANTAGE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVER MARTIN HASEK JR. MD (MEMBER)
(850) 235-8948
Entity
Organization
Contact information
Practice address
202 DOCTORS DR, PANAMA CITY, FL 32405-4454
(850) 235-8948
Mailing address
PO BOX 850001, DEPT 0629, ORLANDO, FL 32885-0629
(850) 235-8948
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
09/14/2009
Last updated
11/28/2012
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