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Organization
PORT ST LUCIE ANESTHESIA LLC
Active
Organization
PORT ST LUCIE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN KOCHENDORFER (SR DIRECTOR OF RCM TRANSFORMATION)
(615) 240-3795
Entity
Organization
Contact information
Practice address
1715 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7511
(772) 335-7005
Mailing address
1A BURTON HILLS BLVD, NASHVILLE, TN 37215-6187
(615) 922-6102
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/30/2017
Last updated
01/20/2023
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