Healthcare Provider Details

I. General information

NPI: 1447115977
Provider Name (Legal Business Name): SRQ ANESTHESIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3325 S TAMIAMI TRL STE 100
SARASOTA FL
34239-5142
US

IV. Provider business mailing address

PO BOX 739908
DALLAS TX
75373-9908
US

V. Phone/Fax

Practice location:
  • Phone: 941-552-3480
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JAMES KREGER
Title or Position: CEO
Credential:
Phone: 502-418-4700