Provider Demographics
NPI:1194034348
Name:GRASSO ANESTHESIA SERVICES AND STAFFING INC.
Entity Type:Organization
Organization Name:GRASSO ANESTHESIA SERVICES AND STAFFING INC.
Other - Org Name:GRASSO ANESTHESIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:P
Authorized Official - Last Name:GRASSO
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:813-728-9334
Mailing Address - Street 1:3165 N MCMULLEN BOOTH RD
Mailing Address - Street 2:BLDG D1
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-2032
Mailing Address - Country:US
Mailing Address - Phone:727-216-6230
Mailing Address - Fax:
Practice Address - Street 1:3165 N MCMULLEN BOOTH RD
Practice Address - Street 2:BUILDING B
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2032
Practice Address - Country:US
Practice Address - Phone:727-210-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-05
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2620362367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty