Individual
CAROLINE S DERENSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1890 LPGA BLVD, SUITE 210, DAYTONA BEACH, FL 32117-7130
(386) 274-1744
(386) 274-1644
Mailing address
3129 JOHN ANDERSON DR, ORMOND BEACH, FL 32176-2207
(386) 441-7453
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1812902
FL
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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