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Peter Edward Da Rold

Anesthesiology

Allopathic & Osteopathic Physicians

2010 59th St W, Ste 5600, Bradenton, FL 34209-4616

PECOS Enrollment

Based on the most recent information from CMS, provider Peter Edward Da Rold does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1821048919
Provider Type
Individual
Full Name
Da Rold, Peter Edward
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/11/2006
Last Updated
3/1/2019

Contact Information

Practice Location

2010 59th St W, Ste 5600, Bradenton, FL 34209-4616

(941) 798-3524

Unlisted Fax

Mailing Location

PO Box 552106, Tampa, FL 33655-0001

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License ME60454 Florida

Provider Identifiers

ID	Description	Issuer
ID 056059600	Description Medicaid	Issuer Unlisted Florida

Peter Edward Da Rold

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Sunshine State Anesthesia Partners Llc

Ball, Clayton Garrett

Florida Anesthesia, Llc

Ravvin, Mikhail Semyonovich

Hubert, James Anthony

Mallari, Irenea C.

Anesthesia Dynamics Llc

West Florida Anesthesia Consultants, Pa

Anesthesia Dynamics Llc

Coastal Anesthesia Providers, Llc