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NPI Code Detail

MEDICARE: COMPREHENSIVE ANESTHESIA OF PINELLAS LLC

MEDICARE: COMPREHENSIVE ANESTHESIA OF PINELLAS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianME47220FL

General Provider Information

NPI Number : 1225403520
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHENSIVE ANESTHESIA OF PINELLAS LLC
Provider Business Mailing Address
First Line : 16618 VILLALENDA DE AVILA
Second Line :
City : TAMPA
State : FL
Zip : 33613-5200
Country : US
Telephone Number : 813-263-7457
Fax Number :
Provider Business Practice Location Address
First Line : 1988 GULF TO BAY BLVD
Second Line :
City : CLEARWATER
State : FL
Zip : 33765-3550
Country : US
Telephone Number : 813-263-7457
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. RODERICK MORRISON FITZ RANDOLPH
Credential : MD
Telephone Number : 813-263-7457
Provider Enumeration Date : 12/11/2015
Last Update Date : 12/11/2015

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Directions to “COMPREHENSIVE ANESTHESIA OF PINELLAS LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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