Provider Demographics
NPI:1598912370
Name:PROFESSIONAL CHOICE ANESTHESIA, INC.
Entity Type:Organization
Organization Name:PROFESSIONAL CHOICE ANESTHESIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BEIRNE
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, CRNA
Authorized Official - Phone:321-779-1330
Mailing Address - Street 1:655 SEVILLE CT
Mailing Address - Street 2:
Mailing Address - City:SATELLITE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-3914
Mailing Address - Country:US
Mailing Address - Phone:321-779-1330
Mailing Address - Fax:321-779-1361
Practice Address - Street 1:655 SEVILLE CT
Practice Address - Street 2:
Practice Address - City:SATELLITE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-3914
Practice Address - Country:US
Practice Address - Phone:321-779-1330
Practice Address - Fax:321-779-1361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1819652363LP2300X
FL367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty