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NPI Code Detail

MEDICARE: BEDROCK ANESTHESIA LLC

MEDICARE: BEDROCK ANESTHESIA 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

General Provider Information

NPI Number : 1962355081
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEDROCK ANESTHESIA LLC
Provider Business Mailing Address
First Line : PO BOX 166031
Second Line : LOCKBOX #166031
City : ALTAMONTE SPRINGS
State : FL
Zip : 32716-6031
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 640 S LAKE ST STE 101
Second Line :
City : LEESBURG
State : FL
Zip : 34748-5921
Country : US
Telephone Number : 407-908-3139
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : ALEJANDRO KNIGHT
Credential : CRNA
Telephone Number : 407-592-9810
Provider Enumeration Date : 02/18/2026
Last Update Date : 05/13/2026

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Directions to “BEDROCK ANESTHESIA LLC ” Practice Location

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