| Trenton D Suffridge, | |
|
8330 Lakewood Ranch Blvd, Lakewood Ranch, FL 34202-5174 | |
| (941) 745-6829 | |
| Not Available |
| Full Name | Trenton D Suffridge |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 8330 Lakewood Ranch Blvd, Lakewood Ranch, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952146862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1161611 (Kentucky) | Primary |
| Entity Name | Fleming Island Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Trenton D Suffridge, 602 4th Ave W, Palmetto, FL 34221-5203 Ph: (941) 745-6829 | Trenton D Suffridge, 8330 Lakewood Ranch Blvd, Lakewood Ranch, FL 34202-5174 Ph: (941) 745-6829 |
Nicole Thibodeau, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3726 Savanna Palms Ct, Lakewood Ranch, FL 34211 Phone: 941-444-9515 | |
Sita D'oyen Russ, PMHNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 6600 University Pkwy Ste 304, Lakewood Ranch, FL 34240 Phone: 833-769-3524 Fax: 786-206-5877 | |
Mrs. Ana Smith, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 15652 Lemon Fish Dr, Lakewood Ranch, FL 34202 Phone: 941-320-7054 | |
Jennifer Michelle Chivas, RN, BSN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7345 International Pl Ste 109, Lakewood Ranch, FL 34240 Phone: 941-254-2502 | |
Julia R. Feliciano, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 8330 Lakewood Ranch Blvd, Lakewood Ranch, FL 34202 Phone: 942-782-2100 |