Organization
WEST FLORIDA ANESTHESIA CONSULTANTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD A. DEFREITAS M.D. (PRESIDENT)
(941) 798-3524
Entity
Organization
Contact information
Practice address
2010 59TH ST W, STE 4650, BRADENTON, FL 34209-4608
(941) 798-3524
Mailing address
PO BOX 30289, TAMPA, FL 33630-3289
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
—
063724600
—
FL
Enumeration date
05/04/2006
Last updated
11/20/2012
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