MEDICARE: METRO ANESTHESIOLOGY CONSULTANTS PA

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	367500000X	Certified Registered Nurse Anesthetist
2	207L00000X	Anesthesiology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CH3984	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	45157	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1306808944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO ANESTHESIOLOGY CONSULTANTS PA

Provider Business Mailing Address
First Line	:	PO BOX 862507
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32886-2507
Country	:	US
Telephone Number	:	813-985-5992
Fax Number	:	813-985-5982

Provider Business Practice Location Address
First Line	:	6001 WEBB RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-3241
Country	:	US
Telephone Number	:	813-985-5992
Fax Number	:	813-985-5982

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CELESTINO CARLOS NENINGER
Credential	:	MD
Telephone Number	:	813-831-1284

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	04/20/2008

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Directions to “METRO ANESTHESIOLOGY CONSULTANTS PA ” Practice Location

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