Individual
MATTHEW EDWARD ZANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1600 LAKELAND HILLS BLVD., LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Mailing address
P.O. BOX 95004, LAKELAND, FL 33805-5004
(863) 680-7000
(863) 680-7420
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9200988
FL
367500000X
Certified Registered Nurse Anesthetist
RN9200988
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001236400
—
FL
Enumeration date
06/12/2009
Last updated
06/21/2012
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