Provider Demographics
NPI:1811056153
Name:ADVANCED ANESTHESIA CARE INC
Entity type:Organization
Organization Name:ADVANCED ANESTHESIA CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:DENNISON
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:813-876-7600
Mailing Address - Street 1:PO BOX 152349
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33684-2349
Mailing Address - Country:US
Mailing Address - Phone:813-876-7600
Mailing Address - Fax:813-876-7675
Practice Address - Street 1:3600 W KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2802
Practice Address - Country:US
Practice Address - Phone:813-876-7600
Practice Address - Fax:813-876-7675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK2438Medicare ID - Type Unspecified