Provider Demographics
NPI:1417242405
Name:VERO ANESTHESIA
Entity Type:Organization
Organization Name:VERO ANESTHESIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:MCGOVERN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-299-5005
Mailing Address - Street 1:275 18TH STREET, SUITE 101
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-5541
Mailing Address - Country:US
Mailing Address - Phone:772-299-5005
Mailing Address - Fax:772-299-1340
Practice Address - Street 1:275 18TH STREET, SUITE 101
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-5541
Practice Address - Country:US
Practice Address - Phone:772-299-5005
Practice Address - Fax:772-299-1340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty