OrganizationActive
Bayshore Anesthesia P a
NPI 1659477461 · Pain Medicine (Anesthesiology) Physician · Niceville, FL
Provider details
- NPI number
- 1659477461
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Arthur Broaderick, Md/President
- License
- ME69348 (FL)
Practice location
2190 Highway 85 N
Niceville, FL 32578-1045
Phone: (352) 867-8898
Fax: (352) 732-6282
Mailing address
Po Box 7419
Orlando, FL 32891-7419
Registry dates
- Enumerated
- 2006-09-16
- Last updated
- 2011-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.