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Organization

NIMBLE ANESTHESIA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISA LINCOLN UMANA CRNA (SOLE MEMBER)
(850) 544-9700
Entity
Organization

Contact information

Practice address
2030 FLEISCHMANN RD, TALLAHASSEE, FL 32308-4599
(850) 544-9700
Mailing address
1238 SKIP WELLS CT, TALLAHASSEE, FL 32312-1064
(850) 544-9700

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9241655
FL

Other

Enumeration date
05/11/2012
Last updated
10/03/2012
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