Individual
GLENN A SLIWINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1800 BARRS ST, JACKSONVILLE, FL 32204
(904) 387-4030
(904) 381-9808
Mailing address
2165 HERSCHEL ST, JACKSONVILLE, FL 32204-3819
(904) 387-4030
(904) 381-9808
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2502552
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00916506A
—
GA
05
—
302955700
—
FL
01
—
G1438
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/25/2006
Last updated
03/15/2010
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