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ANTHONY OTERO FALERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
901 STERTHAUS DR, ORMOND BEACH, FL 32174-5133
(787) 553-0831
Mailing address
258 JACKSON LOOP, DELAND, FL 32724-3251

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11007459
FL
367500000X
Certified Registered Nurse Anesthetist
120395
PR

Other

Enumeration date
05/16/2018
Last updated
05/31/2023
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