Individual provider Active NPI

Sebastien Charles

  • Anesthesiologist Assistant
  • Trinity, FL
National Provider Identifier
1376893123
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
AA140 Issued in FL
Practice address
9330 State Road 54
Trinity, FL 34655-1808
Phone
(727) 834-4000
NPI assigned
Sep 19, 2012
Last updated
Sep 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X AA140 FL Primary

Addresses

Primary practice location

9330 State Road 54
Trinity, FL 34655-1808

Mailing address

1071 Alabama Ave
Fort Lauderdale, FL 33312-7329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20121024000167 FL Practitioner - Anesthesiology Assistant 6002066255 Reassigns benefits to 5 organizations
I20210222000774 GA Practitioner - Anesthesiology Assistant 6002066255 Reassigns benefits to 1 organization
I20240515002846 IN Practitioner - Anesthesiology Assistant 6002066255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians

Practice addresses (Care Compare)

14000 Fivay Rd
Hudson, FL 34667-7103
Phone (727) 819-2929

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

800 Prudential Dr
Jacksonville, FL 32207-8202
Phone (904) 202-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.76 of 100Reported as group
Quality
62.07
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
AA140FLMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Nov 1, 2018 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC CurrentSince Feb 1, 2021 Accepting new patients
The Nemours Foundation CurrentSince May 20, 2017 Accepting new patients
The Nemours Foundation Current Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Feb 1, 2024 Accepting new patients
The Nemours Foundation CurrentSince May 20, 2017 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiologist Assistant CurrentSince Mar 10, 2025 Accepting new patients
Associated Anesthesiologists of Fort Wayne PC Anesthesiologist Assistant CurrentSince May 8, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Nov 1, 2018 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC CurrentSince Feb 1, 2021 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

303 Parkway Dr NE
Atlanta, GA 30312
Phone (404) 265-4000

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875

4023 Reas Ln
New Albany, IN 47150
Phone (502) 690-6425

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (855) 464-8727

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1376893123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 ALABAMA AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333127329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 STATE ROAD 54",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551808",
            "telephone_number": "727-834-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "SEBASTIEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "FL",
            "license": "AA140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.