Provider Demographics
NPI:1316181126
Name:NORTH NAPLES ANESTHESIA, LLC
Entity Type:Organization
Organization Name:NORTH NAPLES ANESTHESIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:STADNYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-566-5748
Mailing Address - Street 1:1005 CROSSPOINTE DR STE 2
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-0947
Mailing Address - Country:US
Mailing Address - Phone:239-566-5758
Mailing Address - Fax:
Practice Address - Street 1:1005 CROSSPOINTE DR STE 2
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-0947
Practice Address - Country:US
Practice Address - Phone:239-566-5758
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty