Bay Area Anesthesia LLC
Anesthesiology, Pain Medicine in Clearwater, FL. Organization (NPI-2).
NPI number1497328173
StatusActive
Last updated in NPPESOct 16, 2023
Details
- NPI
- 1497328173
- Entity type
- Organization (NPI-2)
- Legal business name
- Bay Area Anesthesia LLC
- Organization subpart
- No
- Enumeration date
- Jul 21, 2021
- Certification date
- Oct 16, 2023
- Last updated
- Oct 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | – | – | Yes |
Practice location
2454 N Mcmullen Booth Rd Ste 601Clearwater, FL 33759-1345
Phone 877-328-1119
Mailing address
Po Box 743617Atlanta, GA 30374-3617
Authorized official
Karen Vaughn
Officer
4044504684
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