Active NPI
Mda Anesthesia, LLC
- Anesthesiology Physician
- Belle Glade, FL
National Provider Identifier
1336784115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- MDA ANESTHESIA, LLC
- Practice address
- 39200 Hooker Hwy
Belle Glade, FL 33430-5368 - Phone
- (561) 707-9149
- NPI assigned
- Nov 15, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniela Ghiragossian
- Title
- Administrator
- Phone
- (561) 268-6509
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Emergency Medicine Physician | 207P00000X | |||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
39200 Hooker Hwy
Belle Glade, FL 33430-5368
Mailing address
2326 S Congress Ave Ste 1C
West Palm Beach, FL 33406-7652
Other practice location 1
10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone (561) 798-8500
Other practice location 2
16750 Persimmon Blvd
Westlake, FL 33470-7000
Phone (561) 791-7200
Other practice location 3
206 2nd St E
Bradenton, FL 34208-1000
Phone (941) 746-5111
Other practice location 4
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202-5174
Phone (941) 782-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200226000293 | FL | Part B Supplier - Clinic/Group Practice | 2668809914 |
Receives reassigned benefits from 28 practitioners Practice locations: Belle Glade, FL |
National Provider Directory
National Provider DirectoryLocations
2326 S Congress Ave
Ste 1C
West Palm Beach, FL 33406
Phone (775) 319-5201
16750 Persimmon Blvd
Westlake, FL 33470
Phone (561) 791-7200
Practitioners & affiliated clinicians
Practitioners 30
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Bradenton, FL
- NPI 1629538475
FL, Internal Medicine
-
- Hospitalist Physician
- Lakewood Ranch, FL
- NPI 1790876290
FL, Internal Medicine
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1255873832
FL, Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776211200000",
"number": "1336784115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2326 S CONGRESS AVE STE 1C",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334067652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39200 HOOKER HWY",
"city": "BELLE GLADE",
"state": "FL",
"postal_code": "334305368",
"telephone_number": "561-707-9149"
}
],
"practiceLocations": [
{
"address_1": "10101 Forest Hill Blvd",
"address_purpose": "LOCATION",
"city": "Wellington",
"state": "FL",
"postal_code": "334146103",
"country_code": "US",
"telephone_number": "561-798-8500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16750 Persimmon Blvd",
"address_purpose": "LOCATION",
"city": "Westlake",
"state": "FL",
"postal_code": "334707000",
"country_code": "US",
"telephone_number": "561-791-7200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "206 2nd St E",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342081000",
"country_code": "US",
"telephone_number": "941-746-5111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8330 Lakewood Ranch Blvd",
"address_purpose": "LOCATION",
"city": "Lakewood Ranch",
"state": "FL",
"postal_code": "342025174",
"country_code": "US",
"telephone_number": "941-782-2100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MDA ANESTHESIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-15",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A",
"authorized_official_last_name": "GHIRAGOSSIAN",
"authorized_official_first_name": "DANIELA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "561-268-6509"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belle Glade, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.