Unknown Individual – Anesthesiology Physician, NPI 1154316677
Anesthesiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2165, Herschel Street, Riverside, Jacksonville, Duval County, Florida, 32204, United States
JACKSONVILLE, FL 322043819
Phone: (904) 367-4030
Fax: (904) 381-9808
Type: Mailing
1800, Barrs Street, Jacksonville, Duval County, Florida, 32204, United States
JACKSONVILLE, FL 322044704
Phone: (904) 387-4030
Fax: (904) 381-9808
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32204)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| A N E S T H E S I O L O G Y | FL | |
| - | WI | |
| A N E S T H E S I O L O G Y | FL | |
| - | FL | |
| A N E S T H E S I O L O G Y | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| A N E S T H E S I O L O G Y | PA | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
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