Anesthesia Physician Solutions of North Florida, LLC
Organization Active NPI Anesthesiology Physician · Fort Walton Beach, FL
NPI 1013423896 · NPPES record last updated Jul 31, 2025
Key facts
- NPI
- 1013423896
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- ANESTHESIA PHYSICIAN SOLUTIONS OF NORTH FLORIDA, LLC
- Practice address
- 1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708 - Phone
- (954) 939-5000
- Fax
- (877) 250-6889
- NPI assigned
- Dec 16, 2017
- Organization subpart
- No
Authorized official
- Name
- Christopher Kennedy
- Title
- Authorized Official
- Phone
- (207) 807-9009
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 6
Practitioners 84
-
Stephanie Allen, M.D.
-
Ashley Jordan Bailes, CRNA
-
Tara Michelle Bailey, CRNA
-
William Allen Baker, CRNA
-
Megan Kristine Barnett, M.D.
-
Shivani M Bhatia, MD
-
Scott Cassels, CRNA
-
Faith Colley, CRNA
-
Julie Ann Corey, CRNA
-
Dominique Crisafi, CRNA
-
Vitor Da Cunha Cruz, CRNA
-
Kelly Shea Davidson, M.D.
-
John Elbert Driver III, APRN CRNA
-
Patricia Lynn Duffy, CRNA
-
Juan Jose Egas, MD
-
Jamie Marie Flink, CRNA
-
Francis Garcia, CRNA
-
Julie Ann Graves, CRNA
-
Anthony Gray, CRNA
-
Dmitry Greznev, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151228002033 | FL | Part B Supplier - Clinic/Group Practice | 5597066001 |
Receives reassigned benefits from 534 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pensacola, FL; Panama City, FL; Kissimmee, FL; Gainesville, FL; Fort Walton Beach, FL |
National Provider Directory
- Tax ID family
- Anesthesia Physician Solutions of North Florida LLC
Locations
449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Mailing address
PO Box 744524
Atlanta, GA 30374-4524
Phone (954) 939-5000
Other providers in Fort Walton Beach, FL
- Leslie Marie Anderson
- Nicole Anderson
- Valerie Kay Anderson
- Maura Andronic
- Anesthesia Management, Inc
- Anesthesia Services Group LLC
- Michael Angeloro
- Mary Aninos
- Anthony Decotis, M.D.,P.a.
- Hillary Anthony
All providers in Fort Walton Beach, FL · Anesthesiology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.