Basic Information
| Provider Information | |||||||||
| NPI: | 1508199142 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ANESTHESIA NETWORK SERVICES, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 700 S PARKER DR STE 7 | ||||||||
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| City: | FLORENCE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 295016059 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8668772762 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1500 SE 17TH ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | OCALA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344714621 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8668772762 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/15/2009 | ||||||||
| LastUpdateDate: | 05/20/2016 | ||||||||
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| AuthorizedOfficialLastName: | HAMRICK | ||||||||
| AuthorizedOfficialFirstName: | GERALD | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8668772762 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.