Healthcare Provider Details

I. General information

NPI: 1518910520
Provider Name (Legal Business Name): US ANESTHESIA PARTNERS OF FLORIDA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 12/20/2024
Certification Date: 12/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 TRAFALGAR CT SUITE 200E
MAITLAND FL
32751-4132
US

IV. Provider business mailing address

851 TRAFALGAR CT SUITE 200E
MAITLAND FL
32751-4132
US

V. Phone/Fax

Practice location:
  • Phone: 321-422-7155
  • Fax: 407-667-4338
Mailing address:
  • Phone: 321-422-7155
  • Fax: 407-667-4338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License Number
License Number State

VIII. Authorized Official

Name: GRACE HILTON
Title or Position: DIRECTOR OF CREDENTIALING
Credential:
Phone: 321-422-7155