Organization
CENTER ANESTHESIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER YATES (PATIENT ACCOUNTING MANAGER)
(850) 423-9994
Entity
Organization
Contact information
Practice address
63 BARKLEY CIR, SUITE 104, FORT MYERS, FL 33907-4514
(850) 423-9994
(850) 423-9962
Mailing address
PO BOX 60074, FORT MYERS, FL 33906-6074
(850) 423-9994
(850) 423-9962
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304894200
—
FL
Enumeration date
08/11/2006
Last updated
10/31/2008
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