MEDICARE: CARE ANESTHESIA SPECIALISTS 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
1	367500000X	Certified Registered Nurse Anesthetist
2	207L00000X	Anesthesiology Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1952972200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE ANESTHESIA SPECIALISTS INC

Provider Business Mailing Address
First Line	:	18350 MURDOCK CIR UNIT 102
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33948-1024
Country	:	US
Telephone Number	:	888-276-1910
Fax Number	:	770-701-6718

Provider Business Practice Location Address
First Line	:	23970 SUNCOAST BLVD
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33980-2739
Country	:	US
Telephone Number	:	888-276-1910
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	RAJAKUMARI MUPPAVARAPU
Credential	:
Telephone Number	:	941-206-7251

Provider Enumeration Date	:	07/08/2021
Last Update Date	:	07/08/2021

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