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Organization
SAFE HARBOR ANESTHESIA PRACTICE INC
Active
Organization
SAFE HARBOR ANESTHESIA PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA COYNE CRNA (PRESIDENT)
(727) 868-9442
Entity
Organization
Contact information
Practice address
14003 LAKESHORE BLVD, HUDSON, FL 34667-7124
(727) 868-9442
(727) 862-6210
Mailing address
14003 LAKESHORE BLVD, HUDSON, FL 34667-7124
(727) 868-9442
(727) 862-6210
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ8886
RR MEDICARE
FL
Enumeration date
09/12/2006
Last updated
10/23/2007
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