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Individual

LARRY JO DAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 372-4321
(352) 338-6799
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 372-4321
(352) 338-6799

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 2027802
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
034629200
FL
Enumeration date
04/25/2006
Last updated
05/12/2009
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