Healthcare Provider Details

I. General information

NPI: 1922061928
Provider Name (Legal Business Name): GEOFFREY ALLEN MCAFEE CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 59TH ST W STE 5600
BRADENTON FL
34209-4686
US

IV. Provider business mailing address

PO BOX 552106
TAMPA FL
33655-0001
US

V. Phone/Fax

Practice location:
  • Phone: 941-798-3524
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN9227741
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: