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General NPI Number Information
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NPI Number | 1750940532
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Entity Type | Organization
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Legal Business Name | CAPITAL ANESTHESIA SOLUTIONS OF FLORIDA, LLC
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Dates
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Enumeration Date | 06/06/2019
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 7431 GLADIOLUS DR
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City | FORT MYERS
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State | FL
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Zip | 33908-5122
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Country | US
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Telephone | 854-995-7744
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Fax |
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Provider Business Mailing Address
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Address Line | 120 BRENTWOOD COMMONS WAY STE 510
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City | BRENTWOOD
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State | TN
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Zip | 37027-2028
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Country | US
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Telephone | 253-682-6040
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LAURA FALL
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Credential |
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Telephone | 253-682-6040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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