Provider Demographics
NPI:1972521425
Name:ULTIMATE ANESTHESIOLOGY LLC
Entity Type:Organization
Organization Name:ULTIMATE ANESTHESIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ELIAS
Authorized Official - Last Name:BARSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-873-2496
Mailing Address - Street 1:PO BOX 152877
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33684-2877
Mailing Address - Country:US
Mailing Address - Phone:813-873-2496
Mailing Address - Fax:813-874-1524
Practice Address - Street 1:4178 N ARMENIA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6429
Practice Address - Country:US
Practice Address - Phone:813-873-2496
Practice Address - Fax:813-874-1524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty