Provider Demographics
NPI:1538711106
Name:ALEA ANESTHESIA PA
Entity type:Organization
Organization Name:ALEA ANESTHESIA PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, ANESTHESIA SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:RAMONA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEA
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, CRNA
Authorized Official - Phone:727-741-7406
Mailing Address - Street 1:3552 SYLVAN EDGE DR
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-1037
Mailing Address - Country:US
Mailing Address - Phone:727-741-7406
Mailing Address - Fax:727-781-5395
Practice Address - Street 1:3552 SYLVAN EDGE DR
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34685-1037
Practice Address - Country:US
Practice Address - Phone:727-741-7406
Practice Address - Fax:727-781-5395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-12
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical