Jose Pell, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Tampa, FL
NPI 1114010253 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114010253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- ARNP452612 (FL)
- Practice address
- 7171 N Dale Mabry Hwy
Tampa, FL 33614-2630 - Phone
- (352) 867-8898
- Fax
- (352) 732-6282
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP452612 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Pinellas Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP452612 | FL | Yes |
Addresses
Primary practice location
7171 N Dale Mabry Hwy
Tampa, FL 33614-2630
Mailing address
PO Box 862810
Orlando, FL 32886-2810
Phone (352) 867-8898
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00300000 | Other | FL | RAILROAD MEDICARE |
| G0488 | Other | FL | BLUE CROSS BLUE SHIELD |
Other providers in Tampa, FL
- Aundrea Pelakatiyage
- Leah Pelcastre
- Maria F. Pelegrina
- Jennifer Ann Pelesh
- Alicia Dyane Pelham
- Roxanne Pelletier
- Celeste Pellon
- Kelly Noel Pelloni
- Alina Yanira Pellot Aviles
- Lisa Marie Pelon
All providers in Tampa, FL · Certified Registered Nurse Anesthetist 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 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.