NPIMap

Organization Active NPI

Greater Florida Anesthesiologists, LLC

  • Anesthesiology Physician
  • Port St Lucie, FL
National Provider Identifier
1760054019
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GREATER FLORIDA ANESTHESIOLOGISTS, LLC
Practice address
10080 SW Innovation Way Ste 101
Port St Lucie, FL 34987-2129
Phone
(954) 939-5000
Fax
(866) 250-6889
NPI assigned
Jul 15, 2021
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Christopher Kennedy
Title
Authorized Official
Phone
(207) 807-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

10080 SW Innovation Way Ste 101
Port St Lucie, FL 34987-2129

Mailing address

PO Box 4151
Carol Stream, IL 60197-4151
Phone (954) 939-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101220000829 FL Part B Supplier - Clinic/Group Practice 3173711017 Receives reassigned benefits from 746 practitioners
34 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Weston, FL; Brandon, FL; Wesley Chapel, FL; Tampa, FL; Saint Petersburg, FL; Royal Palm Beach, FL; Palm Springs, FL; Port St Lucie, FL…

Other NPIs on the same Medicare enrollment 34

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 34

National Provider Directory

National Provider Directory
Tax ID family
Greater Florida19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

1601 Clint Moore Rd
Ste 212
Boca Raton, FL 33487
Phone (561) 939-0177

4799 N Federal Hwy
Ste 4
Boca Raton, FL 33431
Phone (561) 750-8600

1010 Jeffords St
Clearwater, FL 33756
Phone (727) 393-2800

2695 Ulmerton Rd
Clearwater, FL 33762
Phone (727) 410-5874

201 N Pine Island Rd
Plantation, FL 33324
Phone (954) 358-1260

1600 Dr Martin Luther King St N
St Petersburg, FL 33704
Phone (727) 456-0750

3275 66th St N
St Petersburg, FL 33710
Phone (727) 343-2568

700 Central Ave
Ste 302
St Petersburg, FL 33701
Phone (727) 323-5414

705 16th St N
St Petersburg, FL 33705
Phone (727) 550-4500

4399 N Nob Hill Rd
Sunrise, FL 33351
Phone (566) 904-1230

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

6326 Gunn Hwy
Ste B
Tampa, FL 33625
Phone (727) 461-7611

100 Perth Ln
Winter Park, FL 32792
Phone (407) 645-5565

Practitioners & affiliated clinicians

Practitioners 714

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 714

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1760054019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4151",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601974151",
            "telephone_number": "954-939-5000",
            "fax_number": "866-250-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10080 SW INNOVATION WAY STE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872129",
            "telephone_number": "954-939-5000",
            "fax_number": "866-250-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER FLORIDA ANESTHESIOLOGISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "207-807-9009"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.