Provider Demographics
NPI:1821369349
Name:ASMAR ANESTHESIA PROVIDERS PLLC
Entity Type:Organization
Organization Name:ASMAR ANESTHESIA PROVIDERS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL ANESTHESIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:E
Authorized Official - Last Name:ASMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-529-1919
Mailing Address - Street 1:PO BOX 12356
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32591-2356
Mailing Address - Country:US
Mailing Address - Phone:850-529-1919
Mailing Address - Fax:850-607-8006
Practice Address - Street 1:2741 DUNSINANE RD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-5814
Practice Address - Country:US
Practice Address - Phone:850-529-1919
Practice Address - Fax:850-607-8006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-13
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85156207L00000X, 208VP0014X
ALMD33357367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001339700Medicaid