Basic Information
| Provider Information | |||||||||
| NPI: | 1780823492 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ANESTHESIOLOGY PROFESSIONALS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 465446 | ||||||||
| Address2: | |||||||||
| City: | LAWRENCEVILLE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300425446 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8002425080 | ||||||||
| FaxNumber: | 7702377346 | ||||||||
| Practice Location | |||||||||
| Address1: | 130 TAMIAMI TRL N | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | NAPLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 341026233 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2394348707 | ||||||||
| FaxNumber: | 7702377346 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/19/2009 | ||||||||
| LastUpdateDate: | 10/31/2016 | ||||||||
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| AuthorizedOfficialLastName: | DOYLE | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9048250626 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA1903X | ME67170 | FL | N | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical | 207L00000X | ME67170 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.