Organization
COASTAL ANESTHESIA PROVIDERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL R NOBCK MD (MEDICAL DIRECTOR)
(888) 337-3509
Entity
Organization
Contact information
Practice address
6015 POINTE WEST BLVD, BRADENTON, FL 34209-5525
(941) 782-0101
Mailing address
PO BOX 865054, ORLANDO, FL 32886-0001
(888) 337-3509
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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