Healthcare Provider Details

I. General information

NPI: 1508199142
Provider Name (Legal Business Name): ANESTHESIA NETWORK SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2009
Last Update Date: 05/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SE 17TH ST SUITE 200
OCALA FL
34471-4621
US

IV. Provider business mailing address

700 S PARKER DR STE 7
FLORENCE SC
29501-6059
US

V. Phone/Fax

Practice location:
  • Phone: 866-877-2762
  • Fax:
Mailing address:
  • Phone: 866-877-2762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: GERALD HAMRICK
Title or Position: OWNER
Credential: MD
Phone: 866-877-2762