Organization
ALPINE ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW T. MOUNTAIN DC (AUTHORIZED OFFICIAL)
(386) 575-2225
Entity
Organization
Contact information
Practice address
777 DELTONA BLVD, STE 21, DELTONA, FL 32725-7173
(386) 575-2225
Mailing address
PO BOX 864613, ORLANDO, FL 32886-4613
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/13/2009
Last updated
11/05/2009
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