# ANESTHESIOLOGY ASSOCIATES OF THE GULF COAST LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Anesthesiology Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205989928
- **Authorized official:** DEDRA L HERN CRNA (CRNA)
- **Authorized official phone:** (941) 782-0102

## Contact information

- **Practice address:** 6015 POINTE WEST BLVD, BRADENTON, FL 34209-5532
- **Practice address phone:** (941) 782-0102
- **Practice address fax:** (941) 794-1863
- **Mailing address:** 6015 POINTE WEST BLVD, BRADENTON, FL 34209-5532
- **Mailing address phone:** (941) 782-0102
- **Mailing address fax:** (941) 794-1863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | ARNP2702393 | FL | — |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 04/20/2008