Individual
MR. DOUGLAS CAMERON MCOUAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
45 HAMPTON CIRCLE, NICEVILLE, FL 32578-3257
(850) 842-2642
Mailing address
1032 NAPA WAY, NICEVILLE, FL 32578-3934
(850) 678-4691
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1951942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305194300
—
FL
Enumeration date
06/16/2006
Last updated
03/05/2022
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