Basic Information
Provider Information
NPI: 1790864783
EntityType: 2
ReplacementNPI:  
OrganizationName: AMERICAN ANESTHESIOLOGY OF NAPLES, INC.
LastName:  
FirstName:  
MiddleName:  
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Credential:  
OtherOrganizationName: ANESTHESIA ASSOCIATES OF NAPLES, P.A.
OtherOrganizationType: 4
OtherLastName:  
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Mailing Information
Address1: 1500 CONCORD TER
Address2: 5TH FLOOR ATTN: MARIA GABBAI
City: SUNRISE
State: FL
PostalCode: 333232815
CountryCode: US
TelephoneNumber: 8002433839
FaxNumber: 8446361410
Practice Location
Address1: 6101 PINE RIDGE RD
Address2:  
City: NAPLES
State: FL
PostalCode: 341193900
CountryCode: US
TelephoneNumber: 2393484400
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/02/2006
LastUpdateDate: 12/14/2016
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: MASON
AuthorizedOfficialFirstName: ERIC
AuthorizedOfficialMiddleName: W.
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 8002433839
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential: M.D
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X  N193200000X MULTI-SPECIALTY GROUPPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 
207L00000X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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