Brevard Anesthesia Services Pa

LBN: Brevard Anesthesia Services Pa
Brevard Anesthesia Services Pa is an health care organization with primary practice located at 1304 Oak St , Melbourne FL 32901-3111. The organization recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. Brevard Anesthesia Services Pa can be contacted via phone (321) 723-4723, or through Scott, Shena J via phone (321) 723-4723.

Contact Information

Primary practice address
1304 Oak St Melbourne FL 32901-3111
Phone: (321) 723-4723
Fax: (321) 727-1448
Website:
Map and Directions
Authorized official contact:
Name: Scott, Shena J
Phone: (321) 723-4723

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X Florida

Profile Details

NPI number 1699881664
LBN Legal business name Brevard Anesthesia Services Pa
DBA Doing business as
Authorized official Scott, Shena J
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2006
Last updated May 15th, 2012 - about 12 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 1699881664 NPPES
Florida Other K0841 RRMCR
Florida Other 00762 RRMCR
Florida MEDICAID 059707400 RRMCR

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