Provider Demographics
NPI:1558470765
Name:QUALITY ANESTHESIA CARE CORP.
Entity Type:Organization
Organization Name:QUALITY ANESTHESIA CARE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOROWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:941-350-6118
Mailing Address - Street 1:4100 HIGEL AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34242-1232
Mailing Address - Country:US
Mailing Address - Phone:941-350-6118
Mailing Address - Fax:941-312-0300
Practice Address - Street 1:4100 HIGEL AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34242-1232
Practice Address - Country:US
Practice Address - Phone:941-350-6118
Practice Address - Fax:941-312-0300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2699782367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5114Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER