SW Florida Anesthesia Services LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

SW FLORIDA ANESTHESIA SERVICES LLC

Practice address

4401 Evans Ave
Fort Myers, FL 33901

Phone

(615) 345-6900

Fax

(615) 345-6905

NPI assigned

Jan 24, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David W. Holst

Title

President, Board of Managers

Phone

(615) 345-6899

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1053616003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE STREET",
            "address_2": "SUITE 740",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192479",
            "telephone_number": "615-345-6900",
            "fax_number": "615-345-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 EVANS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33901",
            "telephone_number": "615-345-6900",
            "fax_number": "615-345-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW FLORIDA ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "HOLST",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT, BOARD OF MANAGERS",
        "authorized_official_telephone_number": "615-345-6899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susana Izquierdo Therapy Solutions, LLC
• Keith S. Susko, M.D.
• Morgan Elise Sutherland
• Lucinda Sutton
• Inesa Sviridova, PA
• SW Florida Radiology LLC
• SW Rehabilitation Center Inc
• Haley Swackhammer, PTA
• Swag Mental Health Services LLC
• David Swan, MS,CCC/SLP

• Pain Medicine (Anesthesiology) Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.