Healthcare Provider Details

I. General information

NPI: 1871746016
Provider Name (Legal Business Name): SWEET DREAMZ ANESTHESIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2008
Last Update Date: 09/02/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21369 SNOOK CIR
LAND O LAKES FL
34639-4904
US

IV. Provider business mailing address

21369 SNOOK CIR
LAND O LAKES FL
34639-4904
US

V. Phone/Fax

Practice location:
  • Phone: 813-468-3726
  • Fax: 888-972-3813
Mailing address:
  • Phone: 813-468-3726
  • Fax: 888-972-3813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME78192
License Number StateFL

VIII. Authorized Official

Name: DR. KELVIN GORRELL
Title or Position: CEO
Credential: MD
Phone: 813-468-3726