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MR. MARIO ALEXANDER NIEVAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
8383 N DAVIS HWY, PENSACOLA, FL 32514-6039
(850) 494-6098
(850) 494-5150
Mailing address
1240 2ND ST, GULFPORT, MS 39501-2217
(228) 343-9898

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9358885
FL

Other

Enumeration date
03/29/2013
Last updated
03/29/2013
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