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NPI Code Detail

MEDICARE: AMERICAN ANESTHESIOLOGY OF NORTH FLORIDA LLC

MEDICARE: AMERICAN ANESTHESIOLOGY OF NORTH FLORIDA 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 Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619309846
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN ANESTHESIOLOGY OF NORTH FLORIDA LLC
Provider Business Mailing Address
First Line : 6094 14TH ST W
Second Line : STE 175
City : BRADENTON
State : FL
Zip : 34207-4104
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2151 RIVERSIDE AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4416
Country : US
Telephone Number : 941-360-1566
Fax Number : 941-358-9818
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : ABDI ABBASSI
Credential : MD
Telephone Number : 941-360-1566
Provider Enumeration Date : 07/30/2013
Last Update Date : 07/30/2013

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Directions to “AMERICAN ANESTHESIOLOGY OF NORTH FLORIDA LLC ” Practice Location

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