Provider Demographics
NPI:1326327420
Name:BAY AREA CONSORTIUM OF ANESTHESIA SERVICES OF FL, LLC
Entity Type:Organization
Organization Name:BAY AREA CONSORTIUM OF ANESTHESIA SERVICES OF FL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-461-4300
Mailing Address - Street 1:PO BOX 16786
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33416-6786
Mailing Address - Country:US
Mailing Address - Phone:281-461-4300
Mailing Address - Fax:
Practice Address - Street 1:13663 DEERING BAY DR
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33158-2805
Practice Address - Country:US
Practice Address - Phone:281-461-4300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty