Organization
SOUTHWEST FLORIDA ANESTHESIA PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LINC CRNA (OWNER)
(248) 762-1538
Entity
Organization
Contact information
Practice address
1237 GREYTHORNE DR, LAKE ORION, MI 48359-2431
(248) 762-1538
Mailing address
1237 GREYTHORNE DR, LAKE ORION, MI 48359-2431
(248) 762-1538
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11015535
FLORIDA LICENSE
FL
Enumeration date
02/11/2022
Last updated
02/11/2022
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