Provider Demographics
NPI:1841470523
Name:ANESCO MEDICAL SERVICES-THH LP
Entity type:Organization
Organization Name:ANESCO MEDICAL SERVICES-THH LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MELI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-485-5666
Mailing Address - Street 1:4631 NW 31ST AVENUE #129
Mailing Address - Street 2:ANESCO MEDICAL SERVICES- THH LP
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309
Mailing Address - Country:US
Mailing Address - Phone:954-485-5666
Mailing Address - Fax:954-484-1651
Practice Address - Street 1:651 EAST 25TH STREET
Practice Address - Street 2:HIALEAH HOSPITAL
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013
Practice Address - Country:US
Practice Address - Phone:305-693-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty