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Individual

ERIK SCOTT RAUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 823-2188
(727) 823-9502
Mailing address
3590 BENSON AVE N, ST PETERSBURG, FL 33713-3550
(727) 481-5346
(727) 823-9502

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9202839
FL
367500000X
Certified Registered Nurse Anesthetist
RN9202839
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
308133800
FL
01
G4146
BCBS
FL
01
P00413034
RAILROAD MCR
Enumeration date
01/08/2007
Last updated
06/15/2010
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