Provider Demographics
NPI:1952817223
Name:TSC ANESTHESIA LLC
Entity Type:Organization
Organization Name:TSC ANESTHESIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:PARENT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-434-8707
Mailing Address - Street 1:130 TAMIAMI TRL N STE 210
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-6233
Mailing Address - Country:US
Mailing Address - Phone:239-732-1133
Mailing Address - Fax:239-732-1145
Practice Address - Street 1:130 TAMIAMI TRL N STE 210
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6233
Practice Address - Country:US
Practice Address - Phone:239-434-8707
Practice Address - Fax:239-732-1145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-21
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty