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General NPI Number Information
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NPI Number | 1215264478
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Entity Type | Organization
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Legal Business Name | GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES LLC
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Dates
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Enumeration Date | 11/09/2009
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 3000 E FLETCHER AVE SUITE 205
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City | TAMPA
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State | FL
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Zip | 33613-4656
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Country | US
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Telephone | 813-253-2273
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Fax | 813-971-3777
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Provider Business Mailing Address
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Address Line | 265 BROOKVIEW CENTRE WAY SUITE 203
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City | KNOXVILLE
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State | TN
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Zip | 37919-4052
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Country | US
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Telephone | 813-844-4396
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Fax | 813-844-4972
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MICHAEL CORVINI
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Credential | MD
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Telephone | 865-507-7724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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