| Christian Michael Cleveland-peck, CRNA | |
|
531 24th Ave N, St Petersburg, FL 33704-2817 | |
| (727) 821-5292 | |
| (727) 821-5292 |
| Full Name | Christian Michael Cleveland-peck |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 531 24th Ave N, St Petersburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114913662 | NPI | - | NPPES |
| 304609500 | Medicaid | FL | |
| G3186 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP 3169412 (Florida) | Primary |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| Entity Name | Pinellas County Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780253419 PECOS PAC ID: 3779971734 Enrollment ID: O20211022002496 |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Michael Cleveland-peck, CRNA 531 24th Ave N, St Petersburg, FL 33704-2817 Ph: (727) 821-5292 | Christian Michael Cleveland-peck, CRNA 531 24th Ave N, St Petersburg, FL 33704-2817 Ph: (727) 821-5292 |
Jeanne Hardin-gres, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701 Phone: 727-456-3288 Fax: 727-456-3289 | |
Katherine Lisa Khokhar, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-828-3218 Fax: 727-828-0723 | |
Ms. Gloria Jr Fain, CBC CNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1311 Asturia Way South, St Petersburg, FL 33705 Phone: 727-866-7403 Fax: 727-866-9495 | |
William Quatman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3637 4th St N, Suite 400, St Petersburg, FL 33704 Phone: 727-823-1234 | |
Alexa Blake Hartnett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 321-841-2335 | |
Erik Scott Rauch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-2188 Fax: 727-823-9502 | |
Candice Queen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-1234 |