Organization
GASTRO MD ANESTHESIA, LLC
Active
Organization
GASTRO MD ANESTHESIA, LLC
Active
Parent organization
GASTRO MD, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GASTRO MD, LLC
Authorized official
CHARLES M. DAVIS (CHIEF OPERATING OFFIER)
(813) 477-5580
Entity
Organization
Contact information
Practice address
5016 W CYPRESS ST STE 100, TAMPA, FL 33607-3804
(813) 542-2586
(813) 281-1735
Mailing address
511 W BAY ST STE 400, TAMPA, FL 33606-2700
(813) 819-0309
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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