Gary-Anthony Lawson- Boucher, MD
Individual provider Active NPI Anesthesiology Physician · Tampa, FL
NPI 1730164427 · NPPES record last updated Jul 15, 2025
Key facts
- NPI
- 1730164427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- ME97767 (FL)
- Practice address
- 1 Tampa General Cir
Suite A327
Tampa, FL 33606-3571 - Phone
- (813) 844-4396
- Fax
- (813) 844-4972
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Dynamics LLC
Centurion Anesthesia - FL LLC
Practice addresses (Care Compare)
110 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-1825
3800 Johnson St
Suite D
Hollywood, FL 33021-6052
Phone (917) 681-4963
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070410000380 | FL | Practitioner - Anesthesiology | 0244335867 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME97767 | FL | MD | Anesthesiology Physician |
| 228322-1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Anesthesiology | Current |
Accepting new patients |
| Quantum Anesthesia Services PA | Anesthesiology | Current |
Accepting new patients |
| Moonlight Anesthesia, P.L. | Anesthesiology | Current |
Accepting new patients |
| Fleming Island Anesthesia LLC | Anesthesiology | Current |
Accepting new patients |
| Centurion Anesthesia - FL LLC | Anesthesiology | Current |
Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Past | Accepting new patients |
| American Anesthesiology of Naples, Inc. | Anesthesiology | Past | Accepting new patients |
| Bonett Medical Center Corp | Past |
Accepting new patients |
Locations
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
5238 Mason Corbin Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 489-3166
4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050
3800 Johnson St
Ste D
Hollywood, FL 33021
Phone (954) 237-3000
931 Toppino Dr
Key West, FL 33040
Phone (305) 293-1801
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048
120 E Par St
Ste 2000
Orlando, FL 32804
Phone (407) 843-5665
983 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-5355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 228322-1 | NY | |
| Anesthesiology Physician | 207L00000X | ME97767 | FL | Yes |
Addresses
Primary practice location
1 Tampa General Cir
Suite A327
Tampa, FL 33606-3571
Mailing address
451 Bayfront PL
#5209
Naples, FL 34102-6469
Phone (239) 298-9702
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93528 | Other | FL | BCBS |
| 277768100 | Medicaid | FL |
Other names
- Gary Anthony Oraine Lawson-Boucher
Other providers in Tampa, FL
- Natalie Lawrence
- Scott Alan Lawrence
- Sharon Lawrence
- Sharon Lawrence
- Shefali Lawrence
- Alaijai Lawson
- Carlie G Lawson
- Charlotte Marie Lawson
- Christopher Lawson
- Justine Mae Lawson
All providers in Tampa, 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 15, 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.