Organization
GULFSTREAM ANESTHESIA CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE M REID MD (PRESIDENT)
(561) 204-5230
Entity
Organization
Contact information
Practice address
275 GUTHRIE DR, TROY, PA 16947-8115
(877) 204-4155
(877) 213-5232
Mailing address
PO BOX 212110, ROYAL PALM BEACH, FL 33421-2110
(877) 204-4155
(877) 213-5232
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
—
1012390590001
—
PA
05
—
1012390590002
—
PA
Enumeration date
08/03/2006
Last updated
04/28/2022
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