Brian Anderson, | |
113 Rose Briar Dr, Longwood, FL 32750-2732 | |
(407) 919-8721 | |
Not Available |
Full Name | Brian Anderson |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 113 Rose Briar Dr, Longwood, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508588120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN9460794 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APRN11026352 (Florida) | Primary |
Entity Name | Emergenchealth Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20190618003098 |
Mailing Address | Practice Location Address |
---|---|
Brian Anderson, 113 Rose Briar Dr, Longwood, FL 32750-2732 Ph: (407) 919-8721 | Brian Anderson, 113 Rose Briar Dr, Longwood, FL 32750-2732 Ph: (407) 919-8721 |
Mrs. Lynda Linde, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 W State Road 434, Longwood, FL 32750 Phone: 321-843-2584 Fax: 407-896-9585 | |
Angela G Diaz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 515 W State Road 434 Ste 105, Longwood, FL 32750 Phone: 407-260-6000 Fax: 407-260-2133 | |
Mr. Terry L Tokash, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9 Stone Gate S, Longwood, FL 32779 Phone: 352-262-4593 | |
Shamar Anthony Marston, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 W Fl - 434, Longwood, FL 32750 Phone: 954-303-5508 | |
Mr. Victor David Pareja, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 W State Road 434, Longwood, FL 32750 Phone: 407-831-0945 |