Organization
BLUE CLOUD ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN LARSEN (CEO)
(208) 340-1840
Entity
Organization
Contact information
Practice address
3599 UNIVERSITY BLVD S STE 604, JACKSONVILLE, FL 32216-4234
(904) 842-1235
(678) 660-0120
Mailing address
9709 LAKESIDE BLVD STE 350, SPRING, TX 77381-1213
(713) 489-2198
(713) 489-2978
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
01/27/2025
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