Provider Demographics
NPI:1154419968
Name:DSC ANESTHESIA LLC
Entity type:Organization
Organization Name:DSC ANESTHESIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:G
Authorized Official - Last Name:ADLERZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-234-5902
Mailing Address - Street 1:651 W PLYMOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32720-3259
Mailing Address - Country:US
Mailing Address - Phone:386-738-6811
Mailing Address - Fax:386-822-4316
Practice Address - Street 1:651 W PLYMOUTH AVE
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-3259
Practice Address - Country:US
Practice Address - Phone:386-738-6811
Practice Address - Fax:386-822-4316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty