Fort Walton Beach Anesthesia Llc

LBN: Fort Walton Beach Anesthesia Llc
Fort Walton Beach Anesthesia Llc is an health care organization with primary practice located at 1000 Mar Walt Dr , Fort Walton Beach FL 32547-6708. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Fort Walton Beach Anesthesia Llc can be contacted via phone (850) 474-8688, or through Popple, Andy via phone (850) 474-8000.

Contact Information

Primary practice address
1000 Mar Walt Dr Fort Walton Beach FL 32547-6708
Phone: (850) 474-8688
Fax: (850) 969-2910
Website:
Map and Directions
Authorized official contact:
Name: Popple, Andy
Phone: (850) 474-8000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1538159652
LBN Legal business name Fort Walton Beach Anesthesia Llc
DBA Doing business as
Authorized official Popple, Andy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2005
Last updated Jun 24th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538159652 NPPES
Other CK6290 RAILROAD MEDICARE
Other 24572 RAILROAD MEDICARE
MEDICAID 266456900 RAILROAD MEDICARE

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