Provider Demographics
NPI:1467696955
Name:E. W. ANESTHESIA SERVICES INC.
Entity Type:Organization
Organization Name:E. W. ANESTHESIA SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:T
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:321-698-5295
Mailing Address - Street 1:PO BOX 1227
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32902-1227
Mailing Address - Country:US
Mailing Address - Phone:321-638-5295
Mailing Address - Fax:321-729-8765
Practice Address - Street 1:812 TOPAZ DR
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-4035
Practice Address - Country:US
Practice Address - Phone:321-638-5295
Practice Address - Fax:321-729-8765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9215859163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty