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ANESTHESIA INC NPI 1619269180


NPI Information

NPI: 1619269180
Provider Name: ANESTHESIA INC

Doing Business As: EMERALD COAST PAIN SERVICES

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 10D2019839

Address:
3997 COMMONS DR W
SUITE M
DESTIN, FL
ZIP 32541
Phone: (850) 424-3769
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ANESTHESIA INC is a specialist in Destin, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ANESTHESIA INC NPI is 1619269180. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Emerald Coast Pain Services.

The provider's business location address is:

3997 COMMONS DR W
SUITE M
DESTIN, FL
ZIP 32541-443
Phone: (850) 424-3769
Fax: (850) 460-2491

The provider's authorized official is Angela Marie King .
The authorized official title is Office Manager and has the following contact phone number (850) 424-3769.

The CLIA number assigned to this NPI record is 10D2019839 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2011 and was last updated on 6/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistME0068957FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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