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NPI Code Detail

MEDICARE: ANESTHESIOLOGY ASSOCIATES OF TALLAHASSEE INC

MEDICARE: ANESTHESIOLOGY ASSOCIATES OF TALLAHASSEE 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
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 : 1922772037
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANESTHESIOLOGY ASSOCIATES OF TALLAHASSEE INC
Provider Business Mailing Address
First Line : PO BOX 4145
Second Line :
City : CAROL STREAM
State : IL
Zip : 60197-4145
Country : US
Telephone Number : 954-939-5000
Fax Number :
Provider Business Practice Location Address
First Line : 2626 CAPITAL MEDICAL BLVD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4402
Country : US
Telephone Number : 877-328-1119
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : CHRISTOPHER KENNEDY
Credential :
Telephone Number : 207-807-9009
Provider Enumeration Date : 08/03/2021
Last Update Date : 06/02/2026

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