Organization
PRESTIGE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN BARACK M.D. (MANAGING MEMBER)
(954) 299-0900
Entity
Organization
Contact information
Practice address
6375 NW 120TH DR, CORAL SPRINGS, FL 33076-1904
(954) 800-7350
(954) 800-7350
Mailing address
6375 NW 120TH DR, CORAL SPRINGS, FL 33076-1904
(954) 800-7350
(954) 800-7350
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME111972
FL
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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