OrganizationWest Florida Anesthesia Consultants, PaAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address2010 59th St W, Ste 4650, Bradenton, FL 34209-4608(941) 798-3524PECOS EnrollmentBased on the most recent information from CMS, provider West Florida Anesthesia Consultants, Pa 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 ID1992753941Provider TypeOrganizationFull NameWest Florida Anesthesia Consultants, PaSubpartNoEnumeration Date5/4/2006Last Updated11/20/2012Contact InformationPractice LocationPractice Address2010 59th St W, Ste 4650, Bradenton, FL 34209-4608Phone(941) 798-3524FaxUnlisted FaxMailing LocationMailing AddressPO Box 30289, Tampa, FL 33630-3289PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameDefreitas, Edward A. (President)Phone(941) 798-3524Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID063724600DescriptionMedicaidIssuerUnlistedFlorida