Organization
GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES LLC
Active
Other names
GTBA PRMC
Organization subpart
No
Provider details
NPI number
Authorized official
DEVANAND MANGAR MD (CEO/PRESIDENT)
(813) 844-4434
Entity
Organization
Contact information
Practice address
13100 FORT KING RD, DADE CITY, FL 33525-5294
(813) 844-4434
(813) 844-4972
Mailing address
809 S ALBANY AVE, TAMPA, FL 33606-2407
(813) 844-4396
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/19/2009
Last updated
04/27/2012
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