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NPI Code Detail

MEDICARE: ANESTHESIA DYNAMICS LLC

MEDICARE: ANESTHESIA DYNAMICS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316513211
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANESTHESIA DYNAMICS LLC
Provider Business Mailing Address
First Line : LB #8247 PO BOX 95000
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19195-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1401 W BAY DR
Second Line :
City : LARGO
State : FL
Zip : 33770-2207
Country : US
Telephone Number : 240-469-2181
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : LAURA G ADKINS
Credential :
Telephone Number : 240-469-2181
Provider Enumeration Date : 06/01/2021
Last Update Date : 09/29/2021

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Directions to “ANESTHESIA DYNAMICS LLC ” Practice Location

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