Organization
CAPITAL CITY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICE TALLEY BIDWELL MD (OWNER/PRESIDENT)
(850) 656-4277
Entity
Organization
Contact information
Practice address
2010 FLEISCHMANN RD, TALLAHASSEE, FL 32308-4599
(850) 552-0608
(850) 552-0925
Mailing address
P.O. BOX 919030, ORLANDO, FL 32891-9030
(850) 656-4277
(850) 656-4276
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
FL
367500000X
Certified Registered Nurse Anesthetist
—
FL
Other
Enumeration date
02/02/2006
Last updated
07/21/2022
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