South Lake Anesthesia Services, P.a.

NPI #1346255056 in Clermont, Florida

Provider Information

NPI Number
1346255056
Entity Type
Organization
Organization Name
South Lake Anesthesia Services, P.a.
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jul 30, 2006
Last Updated
Dec 9, 2011

Practice Location

Address
1900 DON WICKHAM DR
State
Florida
ZIP Code
34711-1979
Phone
(352) 243-9114

Authorized Official

Name
DR. DAVID S GHIVIZZANI, M.D.
Title
OWNER
Phone
(352) 243-9114

Specialties & Taxonomy Codes

Specialty
Anesthesiology
Anesthesiology - Pain MedicinePain Medicine
Nurse Anesthetist, Certified Registered

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