Organization
SAPPHIRE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA CAUDIL CRNA (OWNER)
(410) 458-2292
Entity
Organization
Contact information
Practice address
4210 67TH AVENUE CIR E, SARASOTA, FL 34243-5101
(410) 458-2292
Mailing address
PO BOX 4860, MURRELLS INLET, SC 29576-2698
(843) 651-2624
(843) 491-4023
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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