Provider Demographics
NPI:1578984852
Name:NORTH AMERICAN PARTNERS IN ANESTHESIA FLORIDA LLC
Entity Type:Organization
Organization Name:NORTH AMERICAN PARTNERS IN ANESTHESIA FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:J
Authorized Official - Last Name:VILASI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-391-3931
Mailing Address - Street 1:3998 FAIR RIDGE DR.
Mailing Address - Street 2:STE 300
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-2921
Mailing Address - Country:US
Mailing Address - Phone:703-293-9590
Mailing Address - Fax:703-293-9592
Practice Address - Street 1:3998 FAIR RIDGE DR.
Practice Address - Street 2:STE 300
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-2921
Practice Address - Country:US
Practice Address - Phone:703-293-9590
Practice Address - Fax:703-293-9592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-03
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL13000175741207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010980700Medicaid
FLHT238AMedicare PIN