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Individual

CORNELIS SMITS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3949 EVANS AVE, STE 102, FORT MYERS, FL 33901-9335
(239) 939-2622
(239) 939-0151
Mailing address
15807 ANDERSON LN, FORT MYERS, FL 33912-4257
(239) 939-2622
(239) 939-0151

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1940662
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G0370Z
BC/BS FL
FL
Enumeration date
02/16/2006
Last updated
08/03/2007
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