Provider Demographics
NPI:1629066832
Name:ANESCO ANESTHESIA ASSOCIATES INC.
Entity Type:Organization
Organization Name:ANESCO ANESTHESIA ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-647-7511
Mailing Address - Street 1:3601 W COMMERCIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3300
Mailing Address - Country:US
Mailing Address - Phone:954-647-7511
Mailing Address - Fax:954-985-9818
Practice Address - Street 1:1779 N UNIVERSITY DR
Practice Address - Street 2:DBA GASTRO DIAG CNTR
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-0929
Practice Address - Country:US
Practice Address - Phone:954-963-0888
Practice Address - Fax:954-985-9818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-11
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251961500Medicare ID - Type Unspecified
FL40762Medicare ID - Type Unspecified