Southwest Florida Anesthesia Professionals LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

SOUTHWEST FLORIDA ANESTHESIA PROFESSIONALS LLC

Practice address

1237 Greythorne Dr
Lake Orion, MI 48359-2431

Phone

(248) 762-1538

NPI assigned

Feb 11, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Michael Linc, CRNA

Title

Owner

Phone

(248) 762-1538

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1073267712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 GREYTHORNE DR",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483592431",
            "telephone_number": "248-762-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 GREYTHORNE DR",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483592431",
            "telephone_number": "248-762-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST FLORIDA ANESTHESIA PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "LINC",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-762-1538",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "APRN11015535",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audra L Snowden, MED, MA, LPC, NCC
• Jeffrey Thomas Snyder, FNP-C
• Malgorzata Sobilo, MD
• Natasha Nicole Sornson-Herr
• Gerardo Sosa
• Jennifer Sroka, M.A.
• Sandra Stacioni Saito, MD
• Heike Steib
• Lynne Carnahan Stevens, MA, LLP
• Amanda Stinson, COTAL

• Certified Registered Nurse Anesthetist in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.