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Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Other names
Shriners Hospitals for Children Pro Anesthesia Services-Lexington
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY G. GANTT (PRESIDENT)
(813) 281-0300
Entity
Organization
Contact information
Practice address
110 CONN TER, LEXINGTON, KY 40508-3206
(859) 266-2101
(859) 268-5636
Mailing address
2900 N ROCKY POINT DR, TAMPA, FL 33607-1435
(813) 281-0300
(813) 281-0943
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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