Organization
LASER AND OUTPATIENT SURGERY CENTER LLC
Active
Other names
Gainesville Anesthesia Services
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5900
Entity
Organization
Contact information
Practice address
6925 NW 11TH PL, GAINESVILLE, FL 32605-3101
(352) 331-1590
(352) 331-0995
Mailing address
4919 MEMORIAL HWY STE 200, TAMPA, FL 33634-7500
(813) 291-7015
(813) 527-9537
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
12/08/2020
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