Provider Demographics
NPI:1588739031
Name:LARGO ANESTHESIA ASSOCIATES
Entity type:Organization
Organization Name:LARGO ANESTHESIA ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ANESTHESIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BALBIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:727-446-5150
Mailing Address - Street 1:PO BOX 869
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33779-0869
Mailing Address - Country:US
Mailing Address - Phone:727-446-5150
Mailing Address - Fax:727-446-6889
Practice Address - Street 1:2025 INDIAN ROCKS RD S
Practice Address - Street 2:ANESTHESIA DEPARTMENT
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33774-1035
Practice Address - Country:US
Practice Address - Phone:727-446-5150
Practice Address - Fax:727-446-6889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207L00000X207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL72278OtherGROUP PIN NUMBER