Basic Information
| Provider Information | |||||||||
| NPI: | 1558470765 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | QUALITY ANESTHESIA CARE CORP. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4100 HIGEL AVE | ||||||||
| Address2: | |||||||||
| City: | SARASOTA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342421232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9413506118 | ||||||||
| FaxNumber: | 9413120300 | ||||||||
| Practice Location | |||||||||
| Address1: | 4100 HIGEL AVE | ||||||||
| Address2: | |||||||||
| City: | SARASOTA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342421232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9413506118 | ||||||||
| FaxNumber: | 9413120300 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2006 | ||||||||
| LastUpdateDate: | 09/14/2007 | ||||||||
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| AuthorizedOfficialLastName: | HOROWITZ | ||||||||
| AuthorizedOfficialFirstName: | JAY | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9413506118 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | CRNA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | RN2699782 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.