Debra D Fontaine (NPI# 1639105828, PAC ID# 8628966652) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1639105828 |
| PAC ID by PECOS | 8628966652 |
| Professional Enrollment ID | I20071003000845 |
| Full Name | Debra D Fontaine |
| Organization Legal Name | ELITE ANESTHESIA OF FLORIDA LLC |
| Address |
6345 54th Ave N St Petersburg FL 33709-1703 |
| Phone Number | 7275486100 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 1997 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 2365740081 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6345 54th Ave N, St Petersburg, FL 33709-1703 | 7275486100 | ELITE ANESTHESIA OF FLORIDA LLC |
| Organization Legal Name | ELITE ANESTHESIA OF FLORIDA LLC |
| Physicians | 1 |
| Street Address |
6345 54TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip | 33709-1703 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber Shakira Tas | Cardiovascular Disease (cardiology) | Bay Area Heart Center Pa | 5398 Park St N, Suite A, St Petersburg, FL 33709-1041 |
| Mohammad Yamani | Internal Medicine | All Care Medical Consultants Pa | 5301 Park St N, St Petersburg, FL 33709-1042 |
| Jennifer Rebecca Chambers | Family Medicine | Baycare Medical Group, Inc. | 5405 Park N St, Saint Petersburg, FL 33709-1044 |
| Eve L Massarsky | Physician Assistant | Baycare Medical Group, Inc. | 5405 Park N St, Saint Petersburg, FL 33709-1044 |
| Shannaz A Kazi | Family Medicine | Baycare Medical Group, Inc. | 5405 Park N St, Saint Petersburg, FL 33709-1044 |
| Julian R Menendez | Podiatry | 5415 Park St N, Saint Petersburg, FL 33709-1087 | |
| Sushilla N Beecum | Internal Medicine | 7000 54th Ave N, St. Petersburg, FL 33709-1304 | |
| Meredith L Dykes | Nurse Practitioner | Diagnostic Clinic Medical Group Inc | 6776 54th Ave N, Suite A, Saint Petersburg, FL 33709-1405 |
| Lisa M Disanto | General Practice | Diagnostic Clinic Medical Group Inc | 6776 54th Ave N, Suite A, Saint Petersburg, FL 33709-1405 |
| George R Dunkelberger | Family Practice | Diagnostic Clinic Medical Group Inc | 6776 54th Ave N, Suite A, Saint Petersburg, FL 33709-1405 |
| Find all physicians in zip 33709 | |||
| City | ST PETERSBURG |
| Zip Code | 33709 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | ST PETERSBURG + CERTIFIED REGISTERED NURSE ANESTHETIST |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.