Healthcare Provider Details

I. General information

NPI: 1235521618
Provider Name (Legal Business Name): CRH ANESTHESIA OF FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2015
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14547 BRUCE B DOWNS BLVD
TAMPA FL
33613-2709
US

IV. Provider business mailing address

PO BOX 739041
DALLAS TX
75373-9041
US

V. Phone/Fax

Practice location:
  • Phone: 813-978-1494
  • Fax:
Mailing address:
  • Phone: 888-717-5383
  • Fax: 706-850-7733

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: MELANIE SMITH
Title or Position: SR ENROLLMENT & INTEGRATION SPEC
Credential:
Phone: 425-803-3885