Organization
ANESTHESIA INC
Active
Other names
EMERALD COAST PAIN SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA MARIE KING (OFFICE MANAGER)
(850) 424-3769
Entity
Organization
Contact information
Practice address
3997 COMMONS DR W, SUITE M, DESTIN, FL 32541-8443
(850) 424-3769
(850) 460-2491
Mailing address
3997 COMMONS DR W, SUITE M, DESTIN, FL 32541-8443
(850) 424-3769
(850) 460-2491
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0068957
FL
Other
Enumeration date
05/03/2011
Last updated
06/10/2014
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