Organization
CONCH REPUBLIC ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK J BRUSCIA D.O. (OWNER)
(305) 453-6521
Entity
Organization
Contact information
Practice address
931 TOPPINO DR, KEY WEST, FL 33040-4269
(305) 453-6521
Mailing address
1107 KEY PLZ # 289, KEY WEST, FL 33040-4077
(305) 453-6521
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS 9660
FL
Other
Enumeration date
03/19/2011
Last updated
03/25/2014
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