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NPI Code Detail

MEDICARE: GULF COAST PROFESSIONAL ANESTHESIA ASSOCIATES LLC

MEDICARE: GULF COAST PROFESSIONAL ANESTHESIA ASSOCIATES 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 PhysicianFL

General Provider Information

NPI Number : 1831517440
Entity Type Code : Organization
Provider Name (Legal Business Name) : GULF COAST PROFESSIONAL ANESTHESIA ASSOCIATES LLC
Provider Business Mailing Address
First Line : PO BOX 3048
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62708-3048
Country : US
Telephone Number : 240-469-2181
Fax Number : 240-342-3837
Provider Business Practice Location Address
First Line : 1401 W BAY DR
Second Line :
City : LARGO
State : FL
Zip : 33770-2207
Country : US
Telephone Number : 888-851-4642
Fax Number : 240-342-3837
Authorized Official
Title or Position : EXEC. DIRECTOR OF OPERATIONS
Name : LAURA G ADKINS
Credential :
Telephone Number : 828-424-0869
Provider Enumeration Date : 04/01/2014
Last Update Date : 04/27/2021

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Directions to “GULF COAST PROFESSIONAL ANESTHESIA ASSOCIATES LLC ” Practice Location

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