Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
SOUTHEAST ANESTHESIA ASSOCIATES
Active
Organization
SOUTHEAST ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT A DUDLEY CRNA (NURSE ANESTHESIA)
(772) 201-7510
Entity
Organization
Contact information
Practice address
1715 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7520
(772) 335-7005
(772) 335-3394
Mailing address
PO BOX 8178, PORT ST LUCIE, FL 34985-8178
(772) 335-7005
(772) 335-3394
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303534400
—
FL
Enumeration date
02/05/2007
Last updated
11/02/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up