Organization
LAKE MONROE ANESTHESIA ASSOCIATES PL
Active
Organization
LAKE MONROE ANESTHESIA ASSOCIATES PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AURELIO FELICIANO MD (PRESIDENT OF LAKE MONROE ANES)
(407) 667-0444
Entity
Organization
Contact information
Practice address
1401 W SEMINOLE BLVD, SANFORD, FL 32771-6737
(407) 667-0444
(407) 667-4338
Mailing address
291 SOUTHHALL LN, SUITE 201, MAITLAND, FL 32751-7274
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74637
BCBS
FL
Enumeration date
06/01/2006
Last updated
02/18/2008
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