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NPI Code Detail

MEDICARE: GREATER FLORIDA ANESTHESIOLOGISTS, LLC

MEDICARE: GREATER FLORIDA ANESTHESIOLOGISTS, 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 : 1851963029
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREATER FLORIDA ANESTHESIOLOGISTS, LLC
Provider Business Mailing Address
First Line : PO BOX 745723
Second Line :
City : ATLANTA
State : GA
Zip : 30374-5723
Country : US
Telephone Number : 954-939-5000
Fax Number : 877-250-6889
Provider Business Practice Location Address
First Line : 3060 MELALEUCA LN
Second Line :
City : PALM SPRINGS
State : FL
Zip : 33461-5174
Country : US
Telephone Number : 954-939-5000
Fax Number : 877-250-6889
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : CHRISTOPHER KENNEDY
Credential :
Telephone Number : 207-807-9009
Provider Enumeration Date : 07/15/2021
Last Update Date : 01/06/2026

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