| Tate Storey, CAA | |
|
7700 W Sunrise Blvd, Plantation, FL 33322-4113 | |
| (954) 838-2521 | |
| Not Available |
| Full Name | Tate Storey |
|---|---|
| Gender | Male |
| Speciality | Anesthesiologist Assistant |
| Location | 7700 W Sunrise Blvd, Plantation, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386192664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA341 (Florida) | Primary |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Tate Storey, CAA 6159 Dimond St, Jupiter, FL 33458-6740 Ph: (561) 768-1172 | Tate Storey, CAA 7700 W Sunrise Blvd, Plantation, FL 33322-4113 Ph: (954) 838-2521 |
Mrs. Jackeline Andrea Marx, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 800-437-2672 | |
Francis Lanzana, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 800-437-2672 | |
Jacob Cerny-garcia, C-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 800-437-2672 | |
Tiffany Nicole Jaramillo, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 800-437-2672 | |
Alexander Tolbert, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 800-437-2672 | |
Mr. Salar Khan, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 800-437-2672 |