| Michael Brien Bloodworth Jr, | |
|
701 6th St S, Saint Petersburg, FL 33701-4891 | |
| (321) 841-2335 | |
| Not Available |
| Full Name | Michael Brien Bloodworth Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 701 6th St S, Saint 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 |
|---|---|---|---|
| 1992460117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN152813 (Louisiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11036844 (Florida) | Primary |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Entity Name | Sunshine State Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Brien Bloodworth Jr, 701 6th St S, Saint Petersburg, FL 33701-4891 Ph: (321) 841-2335 | Michael Brien Bloodworth Jr, 701 6th St S, Saint Petersburg, FL 33701-4891 Ph: (321) 841-2335 |
Kelsi Allen Kleffman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5400 Bayou Grande Blvd Ne, Saint Petersburg, FL 33703 Phone: 502-671-3238 | |
Mr. Gregory Marshall Morris, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 548 Boca Ciega Point Blvd S, Saint Petersburg, FL 33708 Phone: 727-418-9794 | |
Jelena Savic, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 7th Ave N, Saint Petersburg, FL 33705 Phone: 727-825-1100 | |
Alice Marie Norris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 6th Ave South, Saint Petersburg, FL 33701 Phone: 727-823-1234 | |
Jacqueline Mulder, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 501 6th Ave S, Saint Petersburg, FL 33701 Phone: 727-898-7451 | |
Marci Beth Woods, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 7th Ave N, Saint Petersburg, FL 33705 Phone: 727-825-1100 | |
Carolina Albanes, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 701 6th St S, Saint Petersburg, FL 33701 Phone: 727-823-1234 |