Organization
RAVEN ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISHNA TRIPURANENI MD (MEDICAL DIRECTOR)
(561) 795-3330
Entity
Organization
Contact information
Practice address
1157 S STATE ROAD 7, WELLINGTON, FL 33414-6101
(561) 795-3330
(561) 795-1030
Mailing address
1157 S STATE ROAD 7, WELLINGTON, FL 33414-6101
(561) 795-3330
(561) 795-1030
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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