Organization
GAINESVILLE OUTPATIENT ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE B WALSH MD (PRESIDENT)
(352) 367-2310
Entity
Organization
Contact information
Practice address
4600 NEWBERRY ROAD, GAINESVILLE, FL 32607-2247
(352) 367-2310
(352) 367-2512
Mailing address
4131 NW 13TH STREET, SUITE 101, GAINESVILLE, FL 32609-1858
(352) 376-1887
(352) 375-7451
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162865601
DEPT OF LABOR ACS FED WOR
—
01
—
74537
BLUE CROSS & BLUE SHIELD
FL
01
—
CK3553
RAILROAD MEDICARE
FL
Enumeration date
10/27/2006
Last updated
09/17/2008
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