Individual
GARY PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
12511 WORLD PLAZA LN BLDG 50, FORT MYERS, FL 33907-3991
(239) 939-2622
(239) 939-0151
Mailing address
12129 LUCCA ST, APT 101, FORT MYERS, FL 33966-5382
(239) 543-9865
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3312872
FL
Other
Enumeration date
06/21/2010
Last updated
08/14/2019
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