Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Proactive Anesthesia Management LLC

Organization Anesthesiology Physician · NPI 1194060624

Proactive Anesthesia Management LLC is an Anesthesiology Physician in Jacksonville Beach, Florida. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

320 1st St N Ste 603
Jacksonville Beach, FL 32250-6944
Phone: (904) 274-3310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X
Anesthesiology Physician Taxonomy 207L00000X

Record details

NPI number1194060624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ian Davies — Ceo · (904) 274-3310
NPI enumeratedDecember 10, 2012
Last updated in NPPESJune 21, 2013
Mailing address320 1st St N, Suite 603, Jacksonville Beach, FL 32250-6944

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