| Patrick J Mulleavy, CRNA | |
| 7154 N University Dr # 316, Tamarac, FL 33321-2916 | |
| (954) 720-3188 | |
| (954) 586-2589 | 
| Full Name | Patrick J Mulleavy | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | 7154 N University Dr # 316, Tamarac, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780698746 | NPI | - | NPPES | 
| 306734300 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | ARNP2008072 (Florida) | Primary | 
| Entity Name | Galloway Anesthesia Associates Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1689989139 PECOS PAC ID: 0143402917 Enrollment ID: O20110315001054 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Patrick J Mulleavy, CRNA 109 Royal Park Dr Apt 4h, Oakland Park, FL 33309-5873 Ph: (954) 543-4372 | Patrick J Mulleavy, CRNA 7154 N University Dr # 316, Tamarac, FL 33321-2916 Ph: (954) 720-3188 | 
| Dr. Dwayne Alan Maultsby, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7154 N University Dr, #316, Tamarac, FL 33321 Phone: 954-720-3188 Fax: 954-586-2589 | |
| Dr. Bobak Afzali Koohian, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7201 N University Dr, Tamarac, FL 33321 Phone: 818-282-6377 | |
| Bruce M. Mann, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7421 N University Dr, Unit 212, Tamarac, FL 33321 Phone: 305-974-5533 Fax: 305-974-5553 | |
| Ramiro Rodriguez, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 7201 North University Drive, Tamarac, FL 33321 Phone: 954-724-6122 | |
| Eduardo Marti, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 7171 N University Dr, #300, Tamarac, FL 33321 Phone: 954-720-3188 Fax: 954-722-6996 | |
| Ramesh Sogal, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7171 N University Dr, #300, Tamarac, FL 33321 Phone: 954-720-3188 Fax: 954-722-6996 | |
| Ira B Fox, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7171 N University Dr, #300, Tamarac, FL 33321 Phone: 954-720-3188 Fax: 954-722-6996 |