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Individual

MICHAEL A BASKIND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
21275 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6704
(941) 624-5559
(941) 624-3777
Mailing address
21275 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6704
(941) 624-5559
(941) 624-3777

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 1580382
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G0113
BS PROVIDER #
FL
Enumeration date
12/01/2006
Last updated
07/08/2007
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