Healthcare Provider Details
I. General information
NPI: 1356458244
Provider Name (Legal Business Name): ANESTHESIOLOGY ASSOCIATES OF NORTH FLORIDA PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2006
Last Update Date: 11/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6500 W NEWBERRY RD
GAINESVILLE FL
32605-4309
US
IV. Provider business mailing address
4131 N.W. 13TH STREET SUITE 101
GAINESVILLE FL
32609-1858
US
V. Phone/Fax
- Phone: 352-333-4180
- Fax: 352-333-4861
- Phone: 352-376-1887
- Fax: 352-375-7451
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WILLIAM
A.
DOYLE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 352-333-4180