| Titilope Okanlomo Somade, | |
|
4119 43rd Ave W, Bradenton, FL 34205-2343 | |
| (941) 527-8615 | |
| Not Available |
| Full Name | Titilope Okanlomo Somade |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4119 43rd Ave W, Bradenton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104518273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9477728 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11033741 (Florida) | Primary |
| Entity Name | Greater Florida Anesthesiologists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528630795 PECOS PAC ID: 3173711017 Enrollment ID: O20101220000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Titilope Okanlomo Somade, 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 Ph: () - | Titilope Okanlomo Somade, 4119 43rd Ave W, Bradenton, FL 34205-2343 Ph: (941) 527-8615 |
Carly Provan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8000 State Road 64 E, Bradenton, FL 34212 Phone: 941-792-1404 | |
Laura Ann Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 59th St W, Ste 5600, Bradenton, FL 34209 Phone: 941-798-3524 | |
Cynthia Chandler Gibson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7118 Hawks Harbor Cir, Bradenton, FL 34207 Phone: 941-350-2039 | |
Mr. Steven Stanley Walther, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6015 Pointe West Blvd, Bradenton, FL 34209 Phone: 941-792-1404 Fax: 941-761-0712 | |
Anthony Eleuterio Marchiano, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6640 Anchor Loop, Apt 108, Bradenton, FL 34212 Phone: 941-567-6926 Fax: 941-567-6926 | |
Chasity Kentros, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 59th St W, #4650, Bradenton, FL 34209 Phone: 941-798-3524 | |
Kasey Allen Spivey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-524-9113 |