Provider Demographics
NPI:1639473309
Name:SOUTH FLORIDA ANESTHESIA AND PAIN INSTITUTE, LLC
Entity Type:Organization
Organization Name:SOUTH FLORIDA ANESTHESIA AND PAIN INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTAGLIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-415-5202
Mailing Address - Street 1:11985 SOUTHERN BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-7619
Mailing Address - Country:US
Mailing Address - Phone:561-955-0028
Mailing Address - Fax:
Practice Address - Street 1:11985 SOUTHERN BLVD STE 201
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-7619
Practice Address - Country:US
Practice Address - Phone:561-955-0028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77904207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty