Healthcare Provider Details

I. General information

NPI: 1144216433
Provider Name (Legal Business Name): NORTH TAMPA ANESTHESIA CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 W FLETCHER AVE
TAMPA FL
33612-3368
US

IV. Provider business mailing address

1402 W. FLETCHER AVENUE
TAMPA FL
33612-3368
US

V. Phone/Fax

Practice location:
  • Phone: 813-627-4723
  • Fax: 813-259-8046
Mailing address:
  • Phone: 813-627-4723
  • Fax: 813-259-8046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME77431
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberME77431
License Number StateFL

VIII. Authorized Official

Name: CHRISTOPHER LOMBARDI
Title or Position: PARTNER
Credential: MD
Phone: 224-880-6563