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Organization

AISTHESIS OF FLORIDA LLC

Active
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Organization

AISTHESIS OF FLORIDA LLC

Active
Parent organization
SAFE SEDATION, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SAFE SEDATION, PLLC
Authorized official
JOHN R WALTON (CEO)
(301) 986-8010
Entity
Organization

Contact information

Practice address
2222 SOUTH HARBOR CITY BLVD, SUITE 540, MELBOURNE, FL 32901
(321) 541-1776
(301) 986-8011
Mailing address
4330 EAST WEST HIGHWAY, SUITE 1100, BETHESDA, MD 20814-4408
(301) 986-8010
(301) 986-8011

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101230517
VA
207L00000X
Anesthesiology Physician
Primary
D0055356
MD
207L00000X
Anesthesiology Physician
MD33512
DC

Other

Enumeration date
03/02/2015
Last updated
03/02/2015
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