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1043654270
AMSURG PORT ORANGE ANESTHESIA, LLC
PORT ORANGE, FL
NPI
1043654270
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Entity Type
Organization
Authorized Contact
PHILLIP A. CLENDENIN
President
615-665-1283
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2013-04-18
Last Update Date
2016-08-09
Business Address
AMSURG PORT ORANGE ANESTHESIA, LLC
3635 S CLYDE MORRIS BLVD SUITE 500
PORT ORANGE, FL 32129-2300
Phone number: 386-760-8151
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Mailing Address
AMSURG PORT ORANGE ANESTHESIA, LLC
1A BURTON HILLS BLVD ATTN: PROVIDER ENROLLMENT
NASHVILLE, TN 37215-6187
Phone number: 615-240-3809
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