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Individual
SCOTT D SONNENBERG
Active
Individual
SCOTT D SONNENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9206749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G3400
BLUESHIELD OF FL
FL
01
—
P00125882
RAILROAD MEDICARE
FL
Enumeration date
08/14/2006
Last updated
07/08/2007
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