Organization
JAYCO ANESTHESIA SERVICE LLC
Active
Organization
JAYCO ANESTHESIA SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JABARI JAWANZA M.D. (SOLE MEMBER)
(941) 921-8122
Entity
Organization
Contact information
Practice address
2325 ULMERTON RD, STE. 27, CLEARWATER, FL 33762-2282
(727) 592-0991
(727) 209-4606
Mailing address
11999 SAN VICENTE BLVD STE 440, LOS ANGELES, CA 90049-5042
(310) 471-5852
(310) 472-9582
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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