Organization
MID FLORIDA ANESTHESIA, LLC
Active
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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