Provider Demographics
NPI:1881297158
Name:ANESTHESIA & PAIN MANAGEMENT ASSOCIATES OF S.W. FLORIDA, LLC
Entity type:Organization
Organization Name:ANESTHESIA & PAIN MANAGEMENT ASSOCIATES OF S.W. FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAJAKUMARI
Authorized Official - Middle Name:
Authorized Official - Last Name:MUPPAVARAPU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-206-7251
Mailing Address - Street 1:18350 MURDOCK CIR UNIT 102
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33948-1024
Mailing Address - Country:US
Mailing Address - Phone:941-206-7251
Mailing Address - Fax:941-206-7250
Practice Address - Street 1:1400 EDUCATION WAY
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33948-1000
Practice Address - Country:US
Practice Address - Phone:941-625-9800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty