Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Keith Latasiewicz, DNP-CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1639709173

Mr. Keith Latasiewicz, DNP-CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Jacksonville, Florida. Qualified in 2019, 7 years ago. Practices with Anesthesia Physician Solutions of North Florida LLC, a 286-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2020
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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (190) 495-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 Health Park Blvd, St Augustine, FL 32086-5784 — (904) 819-5155

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN11005942 (FL)

Record details

NPI number1639709173
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP-CRNA
Sole proprietorNo
NPI enumeratedJanuary 23, 2020
Last updated in NPPESJuly 29, 2021
Certification dateJuly 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Anesthesia Physician Solutions Of North Florida Llc — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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