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NPI Code Detail

MEDICARE: ANESTHESIOLOGY ASSOCIATES OF TALLAHASSEE, INC.

MEDICARE: ANESTHESIOLOGY ASSOCIATES OF TALLAHASSEE, INC.
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

General Provider Information

NPI Number : 1386469385
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANESTHESIOLOGY ASSOCIATES OF TALLAHASSEE, INC.
Provider Business Mailing Address
First Line : PO BOX 4145
Second Line :
City : CAROL STREAM
State : IL
Zip : 60197-4145
Country : US
Telephone Number : 954-939-5000
Fax Number : 877-250-6889
Provider Business Practice Location Address
First Line : 2629 WELAUNEE BLVD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4697
Country : US
Telephone Number : 954-939-5000
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : CHRISTOPHER KENNEDY
Credential :
Telephone Number : 207-807-9009
Provider Enumeration Date : 11/15/2024
Last Update Date : 06/02/2026

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