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Individual

CHRISTIAN ROEDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2020 59TH ST W, BRADENTON, FL 34209-4604
(941) 792-6611
Mailing address
855 N VILLAGE DR N, ST PETERSBURG, FL 33716-3056

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN9304212
FL

Other

Enumeration date
10/29/2018
Last updated
10/29/2018
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