Organization
GULFSHORE ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND W PHILLIPS (PRESIDENT)
(239) 649-1186
Entity
Organization
Contact information
Practice address
1064 GOODLETTE RD, NAPLES, FL 34102-5449
(239) 649-1186
(239) 262-4367
Mailing address
1064 GOODLETTE RD, NAPLES, FL 34102-5449
(239) 649-1186
(239) 262-4367
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2027442
FL
367500000X
Certified Registered Nurse Anesthetist
ARNP9330297
FL
Other
Enumeration date
02/04/2013
Last updated
09/03/2021
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