Organization
CHARLOTTE HARBOR ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD TORTORICE MD (OWNER / PROVIDER)
(727) 823-2188
Entity
Organization
Contact information
Practice address
3637 4TH ST N, STE 400, ST PETERSBURG, FL 33704-1355
(727) 823-2188
Mailing address
PO BOX 20042, ST PETERSBURG, FL 33742-0042
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94973
BCBS
FL
01
—
DD6596
RR MEDICARE
FL
Enumeration date
08/21/2006
Last updated
12/11/2007
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