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Organization

MID FLORIDA ANESTHESIA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THIMMIAH KUMAR MD (PHYSICIAN OWNER)
(352) 789-6575
Entity
Organization

Contact information

Practice address
1950 SW 18TH CT STE 102, OCALA, FL 34471-7857
(352) 789-6575
Mailing address
PO BOX 577, OCALA, FL 34478-0577

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
FL
Enumeration date
10/31/2018
Last updated
12/06/2019
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