Basic Information
| Provider Information | |||||||||
| NPI: | 1881099174 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ANESTHESIACARE, P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 216 MARENGO ST | ||||||||
| Address2: | SUITE F | ||||||||
| City: | FLORENCE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 356306012 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2567649697 | ||||||||
| FaxNumber: | 2567649699 | ||||||||
| Practice Location | |||||||||
| Address1: | 2890 DAUPHIN ST | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366062457 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514732020 | ||||||||
| FaxNumber: | 2514796737 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/29/2014 | ||||||||
| LastUpdateDate: | 10/29/2014 | ||||||||
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| AuthorizedOfficialLastName: | HANLON | ||||||||
| AuthorizedOfficialFirstName: | PHILIP | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2515546462 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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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.