Provider Demographics
NPI:1134762040
Name:PREFERRED SEDATION ASSOCIATES, INC
Entity type:Organization
Organization Name:PREFERRED SEDATION ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH ROLAND
Authorized Official - Middle Name:LUC
Authorized Official - Last Name:FRENETTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-508-5300
Mailing Address - Street 1:PO BOX 660257
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35266-0257
Mailing Address - Country:US
Mailing Address - Phone:205-979-5882
Mailing Address - Fax:205-979-1248
Practice Address - Street 1:5057 PINNACLE SQ
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3216
Practice Address - Country:US
Practice Address - Phone:205-508-5300
Practice Address - Fax:205-508-5230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty