Basic Information
Provider Information
NPI: 1033741731
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRIAS SANCHEZ
FirstName: ULISES
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 1 TAMPA GENERAL CIR
Address2:  
City: TAMPA
State: FL
PostalCode: 336063571
CountryCode: US
TelephoneNumber: 8138447000
FaxNumber:  
Practice Location
Address1: 1 TAMPA GENERAL CIR
Address2:  
City: TAMPA
State: FL
PostalCode: 336063571
CountryCode: US
TelephoneNumber: 8138447000
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/10/2020
LastUpdateDate: 08/18/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/18/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X9500370FLN Nursing Service ProvidersRegistered Nurse 
367500000X11009554FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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