Organization
DELAND ANESTHESIOLOGY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUNDO DELGADO DO (OFFICER OF DELAND ANESTHESIOLOGY)
(407) 667-0444
Entity
Organization
Contact information
Practice address
701 W PLYMOUTH AVE, DELAND, FL 32720-3236
(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
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274046000
—
FL
01
—
94844
BCBS
FL
Enumeration date
06/04/2006
Last updated
10/27/2014
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