New Age Biomedical Services LLC

NPI #1396067070 in Pensacola, Florida

Provider Information

NPI Number: 1396067070
Entity Type: Organization
Organization Name: New Age Biomedical Services LLC
Primary Specialty: Anesthesiology
Enumeration Date: Feb 22, 2010
Last Updated: Oct 6, 2011

Practice Location

Address: 4600 N DAVIS HWY
Address 2: STE 253
City: Pensacola
State: Florida
ZIP Code: 32503-2337
Phone: (850) 494-0048

Authorized Official

Name: JOHN MARK FANNIN, MD
Title: MEMBER/MANAGER/PRESIDENT
Phone: (850) 494-0048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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