Organization
ATLANTIC COAST ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH E INGRAM M.D. (PRESIDENT)
(772) 335-2471
Entity
Organization
Contact information
Practice address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7521
(772) 335-2471
(772) 335-2497
Mailing address
PO BOX 7520, PORT ST LUCIE, FL 34985-7520
(772) 335-2471
(772) 335-2497
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/18/2006
Last updated
08/07/2007
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