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Individual

HENRY ALLEN MATHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2173A CENTERVILLE PL, ANESTHESIOLOGY ASSOCIATES OF TALLAHASSEE, TALLAHASSEE, FL 32308-4356
(850) 385-0144
(850) 385-0146
Mailing address
PO BOX 452198, SUNRISE, FL 33345-2198
(954) 838-2371

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1470902
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G0272
BCBS OF FL
FL
Enumeration date
11/30/2005
Last updated
10/15/2007
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