Organization
GULFCOAST ANESTHETIST SPECIALISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LUISETTE DUPREE CRNA (PRESIDENT)
(941) 223-1338
Entity
Organization
Contact information
Practice address
1954 OREGON TRL, #4, ENGLEWOOD, FL 34224-5487
(941) 223-1338
(941) 966-4978
Mailing address
1954 OREGON TRL, #4, ENGLEWOOD, FL 34224-5487
(941) 223-1338
(941) 966-4978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/31/2013
Last updated
02/26/2013
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