Organization Active NPI

Ambulatory Anesthesia Providers,LLC

  • Specialist
  • Daytona Beach, FL
National Provider Identifier
1508884446
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AMBULATORY ANESTHESIA PROVIDERS,LLC
Practice address
1890 Lpga Blvd
Suite 210
Daytona Beach, FL 32117-7130
Phone
(386) 274-1744
Fax
(386) 274-1644
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rita Beron
Title
Office MGR
Phone
(386) 274-1744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X FL Primary

Addresses

Primary practice location

1890 Lpga Blvd
Suite 210
Daytona Beach, FL 32117-7130

Mailing address

1890 Lpga Blvd
Suite 210
Daytona Beach, FL 32117-7130
Phone (386) 274-1744

National Provider Directory

National Provider Directory

Locations

1890 Lpga Blvd
Ste 210
Daytona Beach, FL 32117
Phone (386) 274-0097

1890 Lpga Blvd
Ste 200
Daytona Beach, FL 32117
Phone (386) 274-3232

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1508884446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 LPGA BLVD",
            "address_2": "SUITE 210",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177130",
            "telephone_number": "386-274-1744",
            "fax_number": "386-274-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 LPGA BLVD",
            "address_2": "SUITE 210",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177130",
            "telephone_number": "386-274-1744",
            "fax_number": "386-274-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY ANESTHESIA PROVIDERS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "BERON",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "386-274-1744"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.