Organization
BAY AREA ANESTHESIA SPECIALISTS, LLC
Active
Organization
BAY AREA ANESTHESIA SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEDRA HERN CRNA (OWNER)
(877) 479-0450
Entity
Organization
Contact information
Practice address
6043 WINTHROP COMMERCE AVE, RIVERVIEW, FL 33578-4272
(877) 479-0450
(866) 665-2702
Mailing address
PO BOX 850001 DEPT 0849, ORLANDO, FL 32885-0849
(877) 479-0450
(866) 665-2702
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/28/2010
Last updated
03/04/2013
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