Provider Demographics
NPI:1043407612
Name:TRANQUILITY ANESTHESIA PLC
Entity Type:Organization
Organization Name:TRANQUILITY ANESTHESIA PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCHER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:813-977-6688
Mailing Address - Street 1:PO BOX 20771
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33622-0771
Mailing Address - Country:US
Mailing Address - Phone:813-977-6688
Mailing Address - Fax:
Practice Address - Street 1:15303 AMBERLY DR STE A
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2308
Practice Address - Country:US
Practice Address - Phone:813-977-6688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-27
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL94864OtherBLUE SHIELD GROUP
FL94864OtherBLUE SHIELD GROUP