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NPI Code Detail

MEDICARE: FLORIDA ANESTHESIA ASSOCIATES P A

MEDICARE: FLORIDA ANESTHESIA ASSOCIATES P A
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 : 1740264118
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA ANESTHESIA ASSOCIATES P A
Provider Business Mailing Address
First Line : 820 PRUDENTIAL DR
Second Line : SUITE 606
City : JACKSONVILLE
State : FL
Zip : 32207-8210
Country : US
Telephone Number : 904-398-3356
Fax Number : 904-398-5397
Provider Business Practice Location Address
First Line : 800 PRUDENTIAL DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8202
Country : US
Telephone Number : 904-398-3356
Fax Number : 904-398-5397
Authorized Official
Title or Position : PRESIDENT
Name : MARK W KRAMP
Credential : M.D.
Telephone Number : 904-398-3356
Provider Enumeration Date : 11/30/2005
Last Update Date : 02/10/2011

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Directions to “FLORIDA ANESTHESIA ASSOCIATES P A ” Practice Location

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