Healthcare Provider Details
I. General information
NPI: 1053608786
Provider Name (Legal Business Name): ALL SERVICES ANESTHESIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2011
Last Update Date: 11/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2323 CURLEW RD STE 5
DUNEDIN FL
34698-9307
US
IV. Provider business mailing address
PO BOX 160368
ALTAMONTE SPRINGS FL
32716-0368
US
V. Phone/Fax
- Phone: 727-771-8333
- Fax: 727-771-8844
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SEAN
SINGH
Title or Position: CEO
Credential:
Phone: 941-360-1566