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Individual

JOSE M THRUSH -SANCHEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 823-2188
Mailing address
PO BOX 22005, ST PETERSBURG, FL 33742-2005
(727) 823-2188
(727) 828-0723

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3404082
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30600400
FL
01
G3521
BCBS
FL
01
P00109525
RR MEDICARE
FL
Enumeration date
08/24/2006
Last updated
09/08/2011
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