South Lake Anesthesia Services, P.a.

NPI #1750710778 in Clermont, Florida

Provider Information

NPI Number
1750710778
Entity Type
Organization
Organization Name
South Lake Anesthesia Services, P.a.
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Nov 12, 2013
Last Updated
Nov 12, 2013

Practice Location

Address
1099 CITRUS TOWER BLVD
State
Florida
ZIP Code
34711-1947
Phone
(352) 394-4071

Authorized Official

Name
BRIAN CONNOR
Title
ADMINISTRATOR
Phone
(352) 243-9114

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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