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Organization

ANESTHESIOLOGY ASSOCIATES OF THE GULF COAST LLC

Active
Other names
Anesthesiology Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DEDRA L HERN CRNA (CRNA)
(941) 782-0102
Entity
Organization

Contact information

Practice address
6015 POINTE WEST BLVD, BRADENTON, FL 34209-5532
(941) 782-0102
(941) 794-1863
Mailing address
6015 POINTE WEST BLVD, BRADENTON, FL 34209-5532
(941) 782-0102
(941) 794-1863

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
208VP0014X
Interventional Pain Medicine Physician
ARNP2702393
FL

Other

Enumeration date
01/18/2007
Last updated
04/20/2008
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