Organization
CCSC ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W HOLST (COO)
(615) 345-6900
Entity
Organization
Contact information
Practice address
2807 CAPITAL MEDICAL BLVD, SUITE 2, TALLAHASSEE, FL 32308-4438
(850) 402-4107
(850) 402-4108
Mailing address
401 COMMERCE ST, SUITE 600, NASHVILLE, TN 37219-2446
(615) 345-6900
(615) 691-7214
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/11/2014
Last updated
04/05/2016
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