| Mr David C Gaylord, CRNA | |
|
1210 So Old Dixie Hwy, Jupier, FL 33458 | |
| (561) 649-3138 | |
| (561) 649-3029 |
| Full Name | Mr David C Gaylord |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1210 So Old Dixie Hwy, Jupier, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144288655 | NPI | - | NPPES |
| G2475 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP 1167692 (Florida) | Primary |
| Entity Name | Anesthesiology Professional Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902856891 PECOS PAC ID: 4688577141 Enrollment ID: O20040130000927 |
| Entity Name | Jupiter Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700073848 PECOS PAC ID: 0547348211 Enrollment ID: O20080421000429 |
| Entity Name | Bethesda Anesthesia Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801054473 PECOS PAC ID: 3971670795 Enrollment ID: O20080920000183 |
| Entity Name | Galloway Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689989139 PECOS PAC ID: 0143402917 Enrollment ID: O20110315001054 |
| Entity Name | East Coast Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538641352 PECOS PAC ID: 3072851914 Enrollment ID: O20190219000845 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David C Gaylord, CRNA Po Box 1620, Jupiter, FL 33468 Ph: (561) 649-3138 | Mr David C Gaylord, CRNA 1210 So Old Dixie Hwy, Jupier, FL 33458 Ph: (561) 649-3138 |