Provider Demographics
NPI:1770336299
Name:AURORA ANESTHESIA LLC
Entity type:Organization
Organization Name:AURORA ANESTHESIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDHABER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-458-5128
Mailing Address - Street 1:8858 BLOOMFIELD BLVD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-4453
Mailing Address - Country:US
Mailing Address - Phone:516-458-5128
Mailing Address - Fax:
Practice Address - Street 1:6050 CATTLERIDGE BLVD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6014
Practice Address - Country:US
Practice Address - Phone:516-458-5128
Practice Address - Fax:800-507-3974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty