Organization Active NPI

Eastwood Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Jacksonville, FL
National Provider Identifier
1932624913
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3397792 Issued in FL
Legal business name
EASTWOOD ANESTHESIA SERVICES LLC
Practice address
3599 University Blvd S Ste 604
Jacksonville, FL 32216-4234
Phone
(904) 399-0905
NPI assigned
Aug 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Authorized official

Name
Veronicac Caridad Eastwood, CRNA
Title
Owner
Phone
(904) 608-3562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 3397792 FL Primary

Addresses

Primary practice location

3599 University Blvd S Ste 604
Jacksonville, FL 32216-4234

Mailing address

4586 Royal Port Dr
Jacksonville, FL 32277-3213
Phone (904) 608-3562

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502323200000",
    "number": "1932624913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4586 ROYAL PORT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322773213",
            "telephone_number": "904-608-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S STE 604",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164234",
            "telephone_number": "904-399-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTWOOD ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2017-08-10",
        "status": "A",
        "authorized_official_last_name": "EASTWOOD",
        "authorized_official_first_name": "VERONICAC",
        "authorized_official_middle_name": "CARIDAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-608-3562",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "3397792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.