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NPI Code Detail

MEDICARE: JS ANESTHESIA INC

MEDICARE: JS ANESTHESIA INC
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
1367500000XCertified Registered Nurse Anesthetist1388142FL

General Provider Information

NPI Number : 1528083243
Entity Type Code : Organization
Provider Name (Legal Business Name) : JS ANESTHESIA INC
Provider Business Mailing Address
First Line : 5731 HARBORAGE DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-4551
Country : US
Telephone Number : 239-691-5750
Fax Number : 239-275-0503
Provider Business Practice Location Address
First Line : 3700 CENTRAL AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-7649
Country : US
Telephone Number : 239-275-0665
Fax Number : 239-275-0503
Authorized Official
Title or Position : PRESIDENT
Name : MS. JUDITH ELAINE SPANN
Credential : CRNA
Telephone Number : 239-691-5750
Provider Enumeration Date : 07/13/2006
Last Update Date : 03/06/2008

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Directions to “JS ANESTHESIA INC ” Practice Location

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