Organization
MCCARTY C.R.N.A., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS R. MCCARTY CRNA (PRESIDENT)
(352) 377-7733
Entity
Organization
Contact information
Practice address
2521 NW 41ST STREET, GAINESVILLE, FL 32606-6630
(352) 377-7733
(352) 377-9577
Mailing address
4131 N.W. 13TH STREET, SUITE 101, GAINESVILLE, FL 32609-1858
(352) 376-1887
(352) 375-7451
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G1100
BCBS
FL
Enumeration date
09/19/2006
Last updated
08/22/2020
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