Organization
NATURE COAST ANESTHESIA PROVIDERS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM S JONES CRNA (OWNER)
(386) 697-1364
Entity
Organization
Contact information
Practice address
17560 US HIGHWAY 441, MOUNT DORA, FL 32757-6711
(386) 697-1364
Mailing address
421 SE ALFRED MARKHAM ST., LAKE CITY, FL 32025
(386) 697-1364
(888) 370-3379
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305017300
—
FL
01
—
99878
BLUE SHIELD
FL
Enumeration date
09/09/2005
Last updated
05/09/2022
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