Organization
SUNBELT ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS M KALYNYCH CRNA (MANAGING MEMBER)
(904) 412-2593
Entity
Organization
Contact information
Practice address
690 MAJESTIC EAGLE DR, PONTE VEDRA, FL 32081-0611
(904) 412-2593
(866) 633-6132
Mailing address
PO BOX 25801, TAMPA, FL 33622-5801
(888) 851-4642
(240) 342-3837
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
FL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
12/21/2012
Last updated
07/19/2022
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