Healthcare Provider Details

I. General information

NPI: 1770045551
Provider Name (Legal Business Name): COMPASSIONATE ANESTHESIA CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2019
Last Update Date: 11/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 BRYAN DAIRY RD STE 495
LARGO FL
33777-1544
US

IV. Provider business mailing address

PO BOX 161903
ALTAMONTE SPRINGS FL
32716-1903
US

V. Phone/Fax

Practice location:
  • Phone: 727-451-6780
  • Fax: 727-451-6799
Mailing address:
  • Phone: 941-360-1566
  • Fax: 941-358-9818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SEAN SINGH
Title or Position: CEO/MANAGER
Credential:
Phone: 941-360-1566