Individual
JUAN ENRIQUE GONZALEZ NAZARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1602
(315) 470-7111
Mailing address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-4434
(865) 867-6561
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
885579
NY
367500000X
Certified Registered Nurse Anesthetist
APRN11003404
FL
Other
Enumeration date
08/03/2019
Last updated
10/17/2023
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