Individual
MRS. CAROL HOCKMAN LARAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3949 EVANS AVE, STE 102, FORT MYERS, FL 33901-9335
(239) 939-2622
(239) 939-0151
Mailing address
PO BOX 413012, NAPLES, FL 34101-3012
(239) 261-1158
(239) 261-4232
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9220102
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G3991
BLUE CROSS AND BLUE SHIEL
FL
01
—
P00363216
MEDICARE RAILROAD
FL
Enumeration date
05/16/2006
Last updated
07/20/2007
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