Healthcare Provider Details

I. General information

NPI: 1306808944
Provider Name (Legal Business Name): METRO ANESTHESIOLOGY CONSULTANTS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 WEBB RD
TAMPA FL
33615-3241
US

IV. Provider business mailing address

PO BOX 862507
ORLANDO FL
32886-2507
US

V. Phone/Fax

Practice location:
  • Phone: 813-985-5992
  • Fax: 813-985-5982
Mailing address:
  • Phone: 813-985-5992
  • Fax: 813-985-5982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CELESTINO CARLOS NENINGER
Title or Position: PRESIDENT
Credential: MD
Phone: 813-831-1284