Organization
AMSURG TAMPA BAY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN KOCHENDORDER (SR DIRECTOR OF RCM TRANSFORMATION)
(615) 240-3795
Entity
Organization
Contact information
Practice address
4809 N ARMENIA AVE, SUITE 100, TAMPA, FL 33603-1447
(813) 872-9310
(813) 872-9311
Mailing address
1A BURTON HILLS BLVD, ATTN: PROVIDER ENROLLMENT, NASHVILLE, TN 37215-6187
(615) 240-3809
(615) 234-1809
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/28/2011
Last updated
01/20/2023
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