Individual
MR. EDWIN BLADIMIR GAVARRETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
123 BAPTIST WAY, PENSACOLA, FL 32503-2254
(850) 434-4011
Mailing address
PO BOX 919330, ORLANDO, FL 32891-9330
(866) 444-0850
(941) 269-4426
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1042492
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11030612
FL
Other
Enumeration date
04/27/2021
Last updated
03/01/2024
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