Healthcare Provider Details

I. General information

NPI: 1538198692
Provider Name (Legal Business Name): CAJINA ANESTHESIA, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 11/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 NW COMMERCE DR
LAKE CITY FL
32055-4709
US

IV. Provider business mailing address

4131 N.W. 13TH STREET SUITE 101
GAINESVILLE FL
32609-1858
US

V. Phone/Fax

Practice location:
  • Phone: 386-719-9390
  • Fax: 386-719-7729
Mailing address:
  • Phone: 352-376-1887
  • Fax: 352-375-7451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: LUIS H CAJINA
Title or Position: PRESIDENT
Credential: MD
Phone: 386-719-9390