Organization

Morton Plant Mease Outpatient Anesthesiology Pa

Pain Medicine (Anesthesiology) Physician in New Port Richey, FL(View on Map)

Legal Business Name

Morton Plant Mease Outpatient Anesthesiology Pa

NPI Number

1295789956

NPI Type

Organization

Enumeration Date

05/19/2006

Specialties

(Taxonomies)

Code

207LP2900X
367500000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 198668
6600 MADISON ST

City

Atlanta
New Port Richey

State

GA
FL

Postal Code

30384-8668
34652-1971

Country

US
US

Telephone Number

(855) 496-3580
(772) 842-8468

Authorized Official

Name

Dr. Paul Gubbini

Title or Position

PROVIDER RELATIONS

Telephone Number

(317) 614-9863

Identifiers

Identifier

21538
257274500
CI6760
K0003

Identifier State

FL
FL
FL
FL

Identifier Issuer

BLUE CROSS BLUE SHIELD
Unknown
RAILROAD MEDICARE
GROUP MEDICARE PTAN NUMBER

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/02/2017

Provider Address

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