Organization
OLYMPIA ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODERICK M FITZ-RANDOLPH MD (OWNER)
(813) 263-7457
Entity
Organization
Contact information
Practice address
16618 VILLALENDA DE AVILA, TAMPA, FL 33613-5200
(813) 263-7457
Mailing address
16618 VILLALENDA DE AVILA, TAMPA, FL 33613-5200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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