Organization
RIVERCOAST ANESTHESIA, P.A.
Active
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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