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NPI Code Detail

MEDICARE: NAKANACHI ANESTHESIA PROVIDERS LLC

MEDICARE: NAKANACHI ANESTHESIA PROVIDERS 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
1207LC0200XCritical Care Medicine (Anesthesiology) PhysicianFL
2207LP2900XPain Medicine (Anesthesiology) PhysicianFL
3207L00000XAnesthesiology PhysicianFL

General Provider Information

NPI Number : 1861647075
Entity Type Code : Organization
Provider Name (Legal Business Name) : NAKANACHI ANESTHESIA PROVIDERS LLC
Provider Business Mailing Address
First Line : 5013 N ARMENIA AVE
Second Line :
City : TAMPA
State : FL
Zip : 33603-1403
Country : US
Telephone Number : 813-875-0562
Fax Number : 813-871-5236
Provider Business Practice Location Address
First Line : 5013 N ARMENIA AVE
Second Line :
City : TAMPA
State : FL
Zip : 33603-1403
Country : US
Telephone Number : 813-875-0562
Fax Number : 813-871-5236
Authorized Official
Title or Position : PRESIDENT
Name : DEVANAND MANGAR
Credential : MD
Telephone Number : 813-844-4434
Provider Enumeration Date : 12/02/2008
Last Update Date : 12/02/2008

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Directions to “NAKANACHI ANESTHESIA PROVIDERS LLC ” Practice Location

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