Provider Demographics
NPI:1801246517
Name:AVENTURA ANESTHESIA ASSOCIATES, LLC
Entity type:Organization
Organization Name:AVENTURA ANESTHESIA ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ZULMA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUILLOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-414-4611
Mailing Address - Street 1:2775 NE 187TH ST
Mailing Address - Street 2:STE 427
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2912
Mailing Address - Country:US
Mailing Address - Phone:305-414-4611
Mailing Address - Fax:
Practice Address - Street 1:401 SW 42ND AVE
Practice Address - Street 2:STE 201
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1938
Practice Address - Country:US
Practice Address - Phone:305-447-0882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty