Organization
PROFESSIONAL ANESTHESIA SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER THESSEN (PRESIDENT)
(321) 242-9599
Entity
Organization
Contact information
Practice address
375 S WICKHAM RD, MELBOURNE, FL 32904-1135
(321) 726-9393
(321) 726-9395
Mailing address
249 LANSING ISLAND DR, INDIAN HARBOUR BEACH, FL 32937-5102
(321) 242-9599
(321) 242-9599
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME81504
FL
Other
Enumeration date
12/18/2011
Last updated
02/01/2012
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