Individual
MR. HENRY CHARLES SAFFORD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
6550 SHORELINE DR, UNIT # 7106, ST PETERSBURG, FL 33708-4588
(727) 319-0546
Mailing address
6550 SHORELINE DR, UNIT # 7106, ST PETERSBURG, FL 33708-4588
(727) 319-0546
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28115941A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000363412
ANTHEM PROVIDER ID NUMBER
IN
05
—
352143143-46580-01
—
IL
Enumeration date
08/02/2005
Last updated
05/19/2022
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