Individual
CHRISTIAN MICHAEL CLEVELAND-PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
531 24TH AVE N, ST PETERSBURG, FL 33704-2817
(727) 821-5292
(727) 821-5292
Mailing address
531 24TH AVE N, ST PETERSBURG, FL 33704-2817
(727) 821-5292
(727) 821-5292
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 3169412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304609500
—
FL
01
—
G3186
BCBS
FL
Enumeration date
09/21/2005
Last updated
08/14/2008
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