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General NPI Number Information
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NPI Number | 1720039746
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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 | 05/15/2006
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 1 TAMPA GENERAL CIR SUITE A327
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City | TAMPA
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State | FL
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Zip | 33606-3571
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Country | US
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Telephone | 813-844-4434
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Fax | 813-844-4972
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Provider Business Mailing Address
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Address Line | 400 N ASHLEY DR SUITE 1625
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City | TAMPA
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State | FL
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Zip | 33602-4300
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Country | US
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Telephone | 813-514-6387
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Fax | 813-229-6801
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL CORVINI
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Credential | M.D.
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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 | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number |
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License Number State | FL
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Taxonomy #2
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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 | FL
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State | FL
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Taxonomy #4
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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 #5
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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 | FL
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Taxonomy #6
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | FL
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