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Individual
TIA ANNE ANTONY
Active
Individual
TIA ANNE ANTONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9343406
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11024212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A535801836650
—
FL
Enumeration date
02/20/2020
Last updated
03/08/2023
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