Provider Demographics
NPI:1124726120
Name:GALLOWAY ANESTHESIA ASSOCIATES, LLC
Entity type:Organization
Organization Name:GALLOWAY ANESTHESIA ASSOCIATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:786-530-3820
Mailing Address - Street 1:1157 S STATE ROAD 7 # 104
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6101
Mailing Address - Country:US
Mailing Address - Phone:561-214-6094
Mailing Address - Fax:877-922-2331
Practice Address - Street 1:1157 S STATE ROAD 7 # 104
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6101
Practice Address - Country:US
Practice Address - Phone:561-214-6094
Practice Address - Fax:877-922-2331
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GALLOWAY ANESTHESIA ASSOCIATES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-20
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty