Organization
GUARDIAN ANESTHESIA SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO BAYANI M D (PRESIDENT)
(813) 873-6400
Entity
Organization
Contact information
Practice address
2901 W SWANN AVE, TAMPA, FL 33609-4056
(813) 873-6400
(913) 341-5797
Mailing address
PO BOX 862506, ORLANDO, FL 32886-2506
(813) 873-6400
(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
01
—
38988
BCBS
FL
01
—
CH3109
RAILROAD MEDICARE
FL
Enumeration date
04/06/2006
Last updated
07/10/2007
Update your record
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