Provider Demographics
NPI:1801477401
Name:SOMNICARE ANESTHESIA INC
Entity type:Organization
Organization Name:SOMNICARE ANESTHESIA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DARYOUSH
Authorized Official - Middle Name:
Authorized Official - Last Name:SABET-PAYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-391-1750
Mailing Address - Street 1:201 W GUAVA ST STE 202
Mailing Address - Street 2:
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-1702
Mailing Address - Country:US
Mailing Address - Phone:352-391-1750
Mailing Address - Fax:352-391-1752
Practice Address - Street 1:201 W GUAVA ST STE 202
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-1702
Practice Address - Country:US
Practice Address - Phone:352-391-1750
Practice Address - Fax:352-391-1752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty