OrganizationWest Florida Anesthesia Trauma Services LlcAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address2010 59th St W, Ste 4650, Bradenton, FL 34209-4616(941) 798-3524PECOS EnrollmentBased on the most recent information from CMS, provider West Florida Anesthesia Trauma Services 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 ID1619262813Provider TypeOrganizationFull NameWest Florida Anesthesia Trauma Services LlcSubpartNoEnumeration Date6/15/2011Last Updated5/16/2013Contact InformationPractice LocationPractice Address2010 59th St W, Ste 4650, Bradenton, FL 34209-4616Phone(941) 798-3524FaxUnlisted FaxMailing LocationMailing AddressPO Box 31306, Tampa, FL 33631-3306PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameDefreitas, Edward (Member Manager)Phone(941) 798-3524Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer