Organization Name: | ANESTHESIA ASSOCIATES OF CAPE CORAL |
NPI Number: | 1003004581 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES O'MAILIA (PRESIDENT) |
Mailing Address: | 665 Del Prado Blvd S Cape Coral |
State: | FL US |
Postal Code: | 339902666 |
Phone Number: | 2392753695 |
Fax Number: | |
NPI Enumeration Date: | 10/09/2007 |
NPI Last Update Date: | 04/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Endoscopy |
Taxonomy Definition: |