Organization
DRN ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD R NETTLOW JR. MD (MANAGING MEMBER)
(863) 289-1209
Entity
Organization
Contact information
Practice address
818 GRIFFIN RD, LAKELAND, FL 33805-2440
(863) 687-0566
Mailing address
1814 WOODPOINTE DR, WINTER HAVEN, FL 33884-2875
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
08/06/2021
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