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Organization
PORT CHARLOTTE HBP SERVICES LLC
Active
Organization
PORT CHARLOTTE HBP SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTINA MUSIC (DIRECTOR PROVIDER ENROLLMENT)
(615) 465-7377
Entity
Organization
Contact information
Practice address
2521 DEL PRADO BLVD N, CAPE CORAL, FL 33909-4003
(239) 242-1357
(239) 540-8980
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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