Organization
FAWCETT MEMORIAL HOSPITAL
Active
Parent organization
GLUF COAST ANESTHESIA
Other names
Gulf Coast Anesthesia
Organization subpart
Yes
Provider details
NPI number
Legal business name
GLUF COAST ANESTHESIA
Authorized official
DR. SWAROOP MUPPAVARAPU M.D. (ADMINISTATOR)
(941) 206-7251
Entity
Organization
Contact information
Practice address
537 PARK ESTATES SQ, VENICE, FL 34293-4181
(941) 497-1949
(941) 497-1949
Mailing address
5424 GRAND BLVD, NEW PORT RICHEY, FL 34652
(727) 845-1736
(941) 206-7250
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2835962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45418
BCBSF
FL
Enumeration date
09/23/2009
Last updated
09/23/2009
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