Provider Demographics
NPI:1326326323
Name:SUNCOAST ANESTHESIOLOGY INC.
Entity Type:Organization
Organization Name:SUNCOAST ANESTHESIOLOGY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:SUNNER
Authorized Official - Last Name:ERIKSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:813-333-6278
Mailing Address - Street 1:10561 BARKLEY ST
Mailing Address - Street 2:STE 300
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1860
Mailing Address - Country:US
Mailing Address - Phone:813-333-6278
Mailing Address - Fax:813-333-6279
Practice Address - Street 1:11811 N DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33637-0917
Practice Address - Country:US
Practice Address - Phone:813-961-8500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-26
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty