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Individual

MR. ALFRED VINCENT MARGO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3001 N ROCKY POINT DR E, 400, TAMPA, FL 33607-5810
(813) 289-9613
Mailing address
3001 N ROCKY POINT DR E, LASER SPINE INSTITUTE, TAMPA, FL 33607-5810
(813) 289-9613

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 9187984
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
U4426X
MEDICARE PTAN
FL
Enumeration date
08/04/2006
Last updated
08/12/2008
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