Organization
PASADENA ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN S. FUOCO DO (MEMBER)
(727) 828-1460
Entity
Organization
Contact information
Practice address
6500 66TH ST N, PINELLAS PARK, FL 33781-5030
(727) 828-1460
Mailing address
6094 14TH ST W, STE 124, BRADENTON, FL 34207-4104
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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