Provider Demographics
NPI:1942571278
Name:GULFCOAST ANESTHESIA SPECIALISTS INC
Entity Type:Organization
Organization Name:GULFCOAST ANESTHESIA SPECIALISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HASHIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-534-8325
Mailing Address - Street 1:70 N LECANTO HWY
Mailing Address - Street 2:
Mailing Address - City:LECANTO
Mailing Address - State:FL
Mailing Address - Zip Code:34461-9190
Mailing Address - Country:US
Mailing Address - Phone:352-527-6699
Mailing Address - Fax:352-746-0720
Practice Address - Street 1:7412 COMMUNITY CT
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-7101
Practice Address - Country:US
Practice Address - Phone:727-861-1000
Practice Address - Fax:727-674-0570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-18
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty