Provider Demographics
NPI:1770703548
Name:AMBULATORY ANESTHESIA PROVIDERS INC.
Entity type:Organization
Organization Name:AMBULATORY ANESTHESIA PROVIDERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:772-221-0190
Mailing Address - Street 1:PO BOX 928
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34995-0928
Mailing Address - Country:US
Mailing Address - Phone:772-221-0190
Mailing Address - Fax:772-221-0449
Practice Address - Street 1:130 BUTLER ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-6106
Practice Address - Country:US
Practice Address - Phone:772-221-0190
Practice Address - Fax:772-221-0449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1693032367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDD0733OtherGROUP COMM. INS. PROV. NU
FLDD0733OtherGROUP COMM. INS. PROV. NU