Healthcare Provider Details

I. General information

NPI: 1780253419
Provider Name (Legal Business Name): PINELLAS COUNTY ANESTHESIA ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2021
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2323 CURLEW RD # BLGB5
DUNEDIN FL
34698-9330
US

IV. Provider business mailing address

PO BOX 730996
DALLAS TX
75373-0996
US

V. Phone/Fax

Practice location:
  • Phone: 727-771-8333
  • Fax: 866-665-8561
Mailing address:
  • Phone: 888-851-4642
  • Fax: 412-937-5707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: JEFF PERRY
Title or Position: MANAGER
Credential:
Phone: 502-418-4700