Provider Demographics
NPI:1265725303
Name:PARRISH ANESTHESIA SPECIALISTS, 7111 FAIRWAY DRIVE, SUITE 202, PALM BE
Entity type:Organization
Organization Name:PARRISH ANESTHESIA SPECIALISTS, 7111 FAIRWAY DRIVE, SUITE 202, PALM BE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE ANESTHETIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:BELTRAN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:407-443-6551
Mailing Address - Street 1:12998 MALLORY CIR APT 106
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-3826
Mailing Address - Country:US
Mailing Address - Phone:407-443-6551
Mailing Address - Fax:
Practice Address - Street 1:12998 MALLORY CIR APT 106
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-3826
Practice Address - Country:US
Practice Address - Phone:407-443-6551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-23
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty