Provider Demographics
NPI:1336786029
Name:STEWARD ANESTHESIOLOGY PHYSICIANS OF FLORIDA INC.
Entity type:Organization
Organization Name:STEWARD ANESTHESIOLOGY PHYSICIANS OF FLORIDA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP, PRACTICE MGMT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:MITTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-894-2158
Mailing Address - Street 1:9 GALEN ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-4515
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13695 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-3230
Practice Address - Country:US
Practice Address - Phone:772-589-3186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-02
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty