Organization
PHOENIX ANESTHESIA PLLC
Active
Organization
PHOENIX ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANJANAYA PRASAD R KORLIPARA MD (PRESIDENT)
(772) 489-5900
Entity
Organization
Contact information
Practice address
1331 N LAWNWOOD CIR, FORT PIERCE, FL 34950
(772) 489-5900
(772) 489-2086
Mailing address
1331 N LAWNWOOD CIR, FORT PIERCE, FL 34950
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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