OrganizationFlorida Digestive Anesthesia Associates LlcAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address2902 59th St W Ste Fandg, Bradenton, FL 34209-7023(941) 792-9685(888) 337-3509PECOS EnrollmentBased on the most recent information from CMS, provider Florida Digestive Anesthesia Associates Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1295251577Provider TypeOrganizationFull NameFlorida Digestive Anesthesia Associates LlcSubpartNoEnumeration Date8/17/2017Last Updated11/13/2017Contact InformationPractice LocationPractice Address2902 59th St W Ste Fandg, Bradenton, FL 34209-7023Phone(941) 792-9685FaxUnlisted FaxMailing LocationMailing AddressPO Box 865609, Orlando, FL 32886-5609Phone(888) 337-3509FaxUnlisted FaxAuthorized OfficialNameRodriguez, Manuel (Medical Director / Owner)Phone(941) 792-9685Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer