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Organization
THREE RIVERS ANESTHESIA SERVICE PA
Active
Organization
THREE RIVERS ANESTHESIA SERVICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES H MCNAIR CRNA (OWNER)
(904) 824-4990
Entity
Organization
Contact information
Practice address
404 NW HALL OF FAME DR, LAKE CITY, FL 32055-4833
(904) 824-4990
(904) 824-2226
Mailing address
PO BOX 3123, ST AUGUSTINE, FL 32085-3123
(904) 824-4990
(904) 824-2226
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP175020
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306328300
—
FL
05
—
306328301
—
FL
01
—
G3065
BCBS
FL
Enumeration date
08/05/2006
Last updated
04/28/2009
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