Basic Information
| Provider Information | |||||||||
| NPI: | 1801919709 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ANESTHESIA OPTIONS PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 850001 DRAWER 0423 | ||||||||
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| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328850423 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 5817 21ST AVE W | ||||||||
| Address2: | |||||||||
| City: | BRADENTON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342095641 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9417940379 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2007 | ||||||||
| LastUpdateDate: | 12/29/2010 | ||||||||
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| AuthorizedOfficialLastName: | SHECTER | ||||||||
| AuthorizedOfficialFirstName: | BETSY | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9418701872 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | CRNA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | Y | 193400000X SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.