Lakewood Ambulatory Anesthesia Pllc

NPI #1013313733 in Bradenton, Florida

Provider Information

NPI Number: 1013313733
Entity Type: Organization
Organization Name: Lakewood Ambulatory Anesthesia Pllc
Primary Specialty: Anesthesiology
Enumeration Date: Nov 6, 2014
Last Updated: Nov 6, 2014

Practice Location

Address: 6015 POINTE WEST BLVD
Address 2: STE 101
City: Bradenton
State: Florida
ZIP Code: 34209-5525
Phone: (941) 360-1566

Authorized Official

Name: BARRY L. SEVERS, MD
Title: MEMBER MANAGER
Phone: (941) 745-6829

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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