Organization
ANESTHESIA OF INDIAN RIVER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD PORTELL MD (ANESTHESIOLOGIST)
(772) 778-9621
Entity
Organization
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
Mailing address
873 RYANWOOD DR, WEST PALM BEACH, FL 33413-1138
(561) 632-4239
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA425
FL
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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