Provider Demographics
NPI:1427358464
Name:MOBILE ANESTHESIOLOGISTS OF FLORIDA, INC.
Entity Type:Organization
Organization Name:MOBILE ANESTHESIOLOGISTS OF FLORIDA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:WOODRING
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:239-349-2604
Mailing Address - Street 1:3894 MANNIX DR
Mailing Address - Street 2:UNIT 206
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114-5404
Mailing Address - Country:US
Mailing Address - Phone:239-349-2604
Mailing Address - Fax:239-349-2608
Practice Address - Street 1:3894 MANNIX DR
Practice Address - Street 2:UNIT 206
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114-5404
Practice Address - Country:US
Practice Address - Phone:239-349-2604
Practice Address - Fax:239-349-2608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-25
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10008207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty