Organization
RIVERCOAST ANESTHESIA, P.A.
Active
Other names
Rivercoast Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DELANO WILLIS M.D. (PRESIDENT)
(321) 305-5987
Entity
Organization
Contact information
Practice address
1899 MURRELL RD STE 130, ROCKLEDGE, FL 32955-3285
(321) 305-5987
(321) 338-2977
Mailing address
1899 MURRELL RD STE 130, ROCKLEDGE, FL 32955-3285
(321) 305-5987
(321) 338-2977
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
11323
FL
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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