Individual
CHRISTOPHER GATHERAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2021 KINGSLEY AVE, SUITE 105, ORANGE PARK, FL 32073-5174
(904) 276-5400
(904) 276-5430
Mailing address
2021 KINGSLEY AVE, SUITE 105, ORANGE PARK, FL 32073-5174
(904) 276-5400
(904) 276-5430
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9226246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004773300
—
FL
Enumeration date
02/08/2012
Last updated
07/21/2015
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