LUCAS L BANNISTER

FLORIDA CLINICAL PRACTICE ASSOCIATION INC

Dr LUCAS L BANNISTER is a male medical professional, specializing in Anesthesiology. He graduated in 2015 from Emory University School Of Medicine.

Contact

FLORIDA CLINICAL PRACTICE ASSOCIATION INC

4101 NW 89TH BLVD
GAINESVILLE
FL
326063813

Tel:

LUCAS L BANNISTER Information

Npi 1598144479
Pac Id 6305151994
Professional Enrollment Id I20190805002025
Last Name BANNISTER
First Name LUCAS
Middle Name L
Suffix
Gender M
Credential
Medical School Name EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2015
Primary Specialty ANESTHESIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Group Practice Pac Id 0345146254
Number Of Group Practice Members 1143
Line 1 Street Address 4101 NW 89TH BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City GAINESVILLE
State FL
Zip Code 326063813
Phone Number
Hospital Affiliation Ccn 1 100113
Hospital Affiliation Lbn 1 UF HEALTH SHANDS HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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