Taylor Moon, | |
21298 Olean Blvd, Port Charlotte, FL 33952-6705 | |
(941) 629-1181 | |
Not Available |
Full Name | Taylor Moon |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 21298 Olean Blvd, Port Charlotte, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508570920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | APRN11023823 (Florida) | Primary |
Entity Name | Fleming Island Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
Entity Name | Anesthesia Dynamics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
Entity Name | Sunshine State Anesthesia Partners Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
Mailing Address | Practice Location Address |
---|---|
Taylor Moon, 9395 Brewton Ave, Englewood, FL 34224-8690 Ph: (864) 617-8724 | Taylor Moon, 21298 Olean Blvd, Port Charlotte, FL 33952-6705 Ph: (941) 629-1181 |
Martha Gaudiel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33949 Phone: 941-629-1181 Fax: 941-624-6020 | |
Juan David Vargas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18350 Murdock Cir, Port Charlotte, FL 33948 Phone: 941-206-7251 | |
James Hutchins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33949 Phone: 941-629-1181 Fax: 941-624-6020 | |
Karen Kalbfeld, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 327 Kindred Blvd, Port Charlotte, FL 33954 Phone: 941-624-5220 | |
Michael A Baskind, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 21275 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-624-5559 Fax: 941-624-3777 | |
Ms. Debra S. Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 21260 Olean Blvd, Ste 105, Port Charlotte, FL 33952 Phone: 941-235-5800 | |
Nancy A Waywood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4122 |