Organization
NORTH FLORIDA ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD WILLIAM REICHERT M.D. (DIRECTOR)
(386) 758-8937
Entity
Organization
Contact information
Practice address
256 SW PROFESSIONAL GLN, SUITE 101, LAKE CITY, FL 32025-1104
(386) 758-8937
(386) 755-2169
Mailing address
256 SW PROFESSIONAL GLN, SUITE 101, LAKE CITY, FL 32025-1104
(386) 758-8937
(386) 755-2169
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME70187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31923
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/07/2007
Last updated
08/22/2020
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