Organization
LAKEWOOD RANCH ANESTHESIA PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ROSENTHAL M.D. (PARTNER)
(941) 745-6829
Entity
Organization
Contact information
Practice address
8330 LAKEWOOD RANCH BLVD, LAKEWOOD RANCH, FL 34202-5174
(941) 746-5111
Mailing address
PO BOX 863295, ORLANDO, FL 32886-3295
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
—
267152200
—
FL
05
—
267152201
—
FL
05
—
267152202
—
FL
Enumeration date
05/04/2006
Last updated
02/26/2021
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