Healthcare Provider Details

I. General information

NPI: 1467880500
Provider Name (Legal Business Name): ANESTHESIA MANAGEMENT SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2013
Last Update Date: 02/24/2022
Certification Date: 02/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 N PALAFOX ST
PENSACOLA FL
32502-5626
US

IV. Provider business mailing address

PO BOX 4206
SPRINGFIELD IL
62708-4206
US

V. Phone/Fax

Practice location:
  • Phone: 866-653-2540
  • Fax: 941-269-4451
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DAVID W SIMPSON
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 866-653-2540