Basic Information
| Provider Information | |||||||||
| NPI: | 1336593813 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PEAK ANESTHESIA PARTNERS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 406 SW 12TH AVE | ||||||||
| Address2: | |||||||||
| City: | DEERFIELD BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334423108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544261169 | ||||||||
| FaxNumber: | 9544269488 | ||||||||
| Practice Location | |||||||||
| Address1: | 406 SW 12TH AVE | ||||||||
| Address2: | |||||||||
| City: | DEERFIELD BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334423108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544261169 | ||||||||
| FaxNumber: | 9544269488 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/20/2016 | ||||||||
| LastUpdateDate: | 04/20/2016 | ||||||||
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| AuthorizedOfficialLastName: | MILSTEIN | ||||||||
| AuthorizedOfficialFirstName: | STEVEN | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9544261169 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.