Organization
CONTRACT ANESTHESIA SERVICES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VAN DALE BELL CRNA (PRESIDENT)
(727) 698-3579
Entity
Organization
Contact information
Practice address
2821 PROCTOR RD, SARASOTA, FL 34231-6443
(941) 870-1872
(941) 870-1879
Mailing address
6698 29TH ST S, ST PETERSBURG, FL 33712-5514
(727) 698-3579
(727) 374-9146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1360592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G2757
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/31/2007
Last updated
04/20/2008
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