Organization

Lakeside Anesthesia Group Llc

Anesthesiology Physician in Jacksonville, FL(View on Map)

Legal Business Name

Lakeside Anesthesia Group Llc

NPI Number

1043063068

NPI Type

Organization

Enumeration Date

04/09/2024

Specialties

(Taxonomies)

Code

207L00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

3020 HARTLEY RD STE 210
9143 PHILIPS HWY STE 515

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32257-8206
32256-1335

Country

US
US

Telephone Number

(904) 395-7772
(904) 395-4840

Authorized Official

Name

Mr. Andrew Weaver

Title or Position

MANAGER

Telephone Number

(904) 395-7772

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/24/2024

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