Bayshore Anesthesia P A

LBN: Bayshore Anesthesia P A
Bayshore Anesthesia P A is an health care organization with primary practice located at 2190 Highway 85 N , Niceville FL 32578-1045. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Bayshore Anesthesia P A can be contacted via phone (352) 867-8898, or through Broaderick, Arthur Paul via phone (352) 867-8898.

Contact Information

Primary practice address
2190 Highway 85 N Niceville FL 32578-1045
Phone: (352) 867-8898
Fax: (352) 732-6282
Website:
Map and Directions
Authorized official contact:
Name: Broaderick, Arthur Paul Doctor of Medicine (MD)
Phone: (352) 867-8898

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME69348 Florida

Profile Details

NPI number 1659477461
LBN Legal business name Bayshore Anesthesia P A
DBA Doing business as
Authorized official Broaderick, Arthur Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2006
Last updated Aug 9th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659477461 NPPES
Florida Other 28253 BLUE CROSS BLUE SHIELD
Florida MEDICAID 379870400 BLUE CROSS BLUE SHIELD

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