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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