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Organization
PALSGROVES SWEET DREAMS INC
Active
Organization
PALSGROVES SWEET DREAMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PALSGROVE CRNA (OWNER)
(863) 382-7500
Entity
Organization
Contact information
Practice address
3601 S HIGHLANDS AVE, SEBRING, FL 33870-5418
(863) 382-7500
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9771
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN1705052
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311532100
—
FL
01
—
430071338
RAILROAD MEDICARE
FL
01
—
AK357
BX OF FL - NON PAR
FL
Enumeration date
06/22/2005
Last updated
07/07/2008
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