Organization
MID FLORIDA ANESTHESIA ASSOCIATES, INC.
Active
Parent organization
RESOLUTE ANESTHESIA & PAIN SOLUTIONS, LLC
Other names
Resolute Pain Solutions
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESOLUTE ANESTHESIA & PAIN SOLUTIONS, LLC
Authorized official
JAY MARTIN (CEO)
(561) 465-2598
Entity
Organization
Contact information
Practice address
7100 W CAMINO REAL, SUITE 301, BOCA RATON, FL 33433-5510
(561) 465-2598
(561) 465-2599
Mailing address
PO BOX 850001, DEPT 114, ORLANDO, FL 32885-0114
(772) 337-7676
(772) 264-2864
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
FL
291U00000X
Clinical Medical Laboratory
800018707
FL
332B00000X
Durable Medical Equipment & Medical Supplies
6167750002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33576
BCBS OF FLORIDA
FL
05
—
377780400
—
FL
01
—
CH1211
RAILROAD MEDICARE
FL
Enumeration date
06/09/2006
Last updated
08/20/2015
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