Organization
BAY AREA CONSORTIUM OF ANESTHESIA SERVICES OF FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MOHINI DEWKINANDAN (CREDENTIALING SPECIALIST)
(954) 822-7328
Entity
Organization
Contact information
Practice address
1007 W COMMERCIAL BLVD, FORT LAUDERDALE, FL 33309-3107
(954) 822-7328
Mailing address
PO BOX 16786, WEST PALM BEACH, FL 33416-6786
(954) 822-7328
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
111629
FL
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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