1578984852 NPI number — NORTH AMERICAN PARTNERS IN ANESTHESIA FLORIDA LLC

Table of content: (NPI 1578984852)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578984852 NPI number — NORTH AMERICAN PARTNERS IN ANESTHESIA FLORIDA LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH AMERICAN PARTNERS IN ANESTHESIA FLORIDA LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578984852
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/21/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3998 FAIR RIDGE DR.
Provider Second Line Business Mailing Address:
STE 300
Provider Business Mailing Address City Name:
FAIRFAX
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22033-2921
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-293-9590
Provider Business Mailing Address Fax Number:
703-293-9592

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3998 FAIR RIDGE DR.
Provider Second Line Business Practice Location Address:
STE 300
Provider Business Practice Location Address City Name:
FAIRFAX
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22033-2921
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-293-9590
Provider Business Practice Location Address Fax Number:
703-293-9592
Provider Enumeration Date:
01/03/2014

Additional Information

Authorized Official

Authorized Official Last Name:
VILASI
Authorized Official First Name:
VINCENT
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
703-391-3931

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  L13000175741 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 010980700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com