Provider Demographics
NPI:1457425571
Name:ANESTHESIA CARE TEAM, INC.
Entity Type:Organization
Organization Name:ANESTHESIA CARE TEAM, INC.
Other - Org Name:ANESTHESIA CARE TEAM, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:K
Authorized Official - Last Name:VELISETTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-237-0509
Mailing Address - Street 1:PO BOX 645305
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45264-5305
Mailing Address - Country:US
Mailing Address - Phone:352-237-0509
Mailing Address - Fax:352-237-9808
Practice Address - Street 1:3309 SW 34TH CIRCLE
Practice Address - Street 2:SUITE 101
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-3311
Practice Address - Country:US
Practice Address - Phone:352-237-0509
Practice Address - Fax:352-237-9808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCB1157OtherRAILROAD MEDICARE
FLN146227OtherWELL CARE HEALTHEZ
FL97302OtherBCBS PROVIDER GROUP NUMBE
FL062763100Medicaid
FLCB1157OtherRAILROAD MEDICARE
FL97302Medicare PIN