Organization
MOLINA BURKETT CHAUHAN WHEELEY AND FINK MD PA
Active
Other names
St Lucie Anesthesia Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
KAMBAM R REDDY M.D. (PRESIDENT)
(352) 867-8898
Entity
Organization
Contact information
Practice address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(352) 867-8898
(352) 732-6282
Mailing address
PO BOX 552393, TAMPA, FL 33655-2393, TAMPA, FL 33655-0001
(352) 867-8898
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00165
BLUE CROSS BLUE SHIELD
FL
01
—
CE0145
RAILROAD MEDICARE
FL
Enumeration date
05/15/2007
Last updated
09/27/2007
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