Organization
UNICOM ANESTHESIA ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GIANETTI M.D. (PRESIDENT)
(913) 754-0467
Entity
Organization
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(913) 754-0467
(913) 341-5797
Mailing address
PO BOX 23605, TAMPA, FL 33623-3605
(913) 754-0467
(913) 341-5797
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054814601
—
FL
01
—
77599
BCBS
FL
01
—
CA0963
RAILROAD MEDICARE
FL
Enumeration date
04/06/2006
Last updated
08/28/2009
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