Organization
MSC ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA J WEINKLE M.D. (PRESIDENT)
(941) 794-2020
Entity
Organization
Contact information
Practice address
601 MANATEE AVE W, BRADENTON, FL 34205-8610
(941) 745-2727
(941) 745-2112
Mailing address
601 MANATEE AVE W, BRADENTON, FL 34205-8610
(941) 745-2727
(941) 745-2112
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
HCC4600
FL
367500000X
Certified Registered Nurse Anesthetist
HCC4600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61009100
US DEPARTMENT OF LABOR
—
01
—
7462656
AETNA
—
01
—
74974
BC/BS
FL
01
—
DC7796
RAILROAD MEDICARE
—
Enumeration date
11/04/2005
Last updated
10/06/2011
Update your record
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