Ips of Punta Gorda LLC
NPI #1710110077 in Pt Charlotte, Florida
Provider Information
- NPI Number
- 1710110077
- Entity Type
- Organization
- Organization Name
- Ips of Punta Gorda LLC
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Sep 2, 2009
- Last Updated
- Dec 10, 2009
Practice Location
- Address
- 1400 EDUCATION WAY
- City
- Pt Charlotte
- State
- Florida
- ZIP Code
- 33948-1000
- Phone
- (941) 625-9800
Authorized Official
- Name
- CARL R. NOBACK, MD
- Title
- AUTHORIZED OFFICIAL
- Phone
- (941) 360-1566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
| Anesthesiology |
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