MEDICARE: AAC NATIONAL PLLC

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
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1295684512
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AAC NATIONAL PLLC

Provider Business Mailing Address
First Line	:	7901 4TH ST N STE 300
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33702-4399
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1395 S STATE ROAD 7 STE 350
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-9327
Country	:	US
Telephone Number	:	561-220-5434
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	JOSHUA GANTZ
Credential	:
Telephone Number	:	773-756-5760

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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