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MR. NICHOLAS M KALYNYCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
690 MAJESTIC EAGLE DR, SUNBELT ANESTHESIA SERVICES, LLC, PONTE VEDRA, FL 32081-0611
(904) 412-2593
(904) 686-1817
Mailing address
690 MAJESTIC EAGLE DR, SUNBELT ANESTHESIA SERVICES,LLC, PONTE VEDRA, FL 32081-0611
(904) 412-2593
(904) 686-1817

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP3014012
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
3014012
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000892009A
GA
05
3034364-00
FL
01
G20357
BLUE CROSS / BLUE SHIELD NUMBER
FL
Enumeration date
03/11/2006
Last updated
02/11/2013
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