Provider Demographics
NPI:1831701432
Name:TRIDENT ANESTHESIA LLC
Entity type:Organization
Organization Name:TRIDENT ANESTHESIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-865-2000
Mailing Address - Street 1:1111 KANE CONCOURSE STE 311
Mailing Address - Street 2:
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-2041
Mailing Address - Country:US
Mailing Address - Phone:305-865-2000
Mailing Address - Fax:305-865-2002
Practice Address - Street 1:1111 KANE CONCOURSE STE 311
Practice Address - Street 2:
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154-2041
Practice Address - Country:US
Practice Address - Phone:305-865-2000
Practice Address - Fax:305-865-2002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-17
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty